在抑郁症患者康复管理中应用支持型自我管理模式的效果评价

摘要

Objective:To analyze the effect of Supportive Self-Management Mode on rehabilitation administration and management of discharged patients with depression.Methods:Patients with depression discharging from mood disorders ward were recruited during August of 2015 to October of 2016.Participants were randomly divided into the observation group (n=34) and the control group (n=33) using random number method.Both groups were given typical antidepressant treatment,conventional discharge nursing and health education.Moreover,the observation group was also given supportive self-management interventions according to Supportive Self-Management Mode.Hamilton Depression Scale (HAMD),Self-Efficacy Scale (SES) and WHO Quality of Life-Abbreviated Version (WHOQOL-BREF) were used to assess patients before their discharge,2 months,4 months and 6 months after their discharge separately.Results:Patients of the observation group scored significantly lower than the control group using HAMD.Patients of the observation group got significantly higher scores than the control group as to self-efficacy level,psychological dimension and physical dimension using WHOQOL-BREF.Conclusion:Supportive Self-Management Mode could help control symptoms of patients with depression and improve their self-efficacy and quality of life.%目的:分析支持型自我管理模式在抑郁症患者康复管理中的应用效果.方法:2015年8月至2016年10月,采用随机数字表法将我院心境障碍科出院的抑郁症患者随机分为观察组(n=34)和对照组(n-33).两组均进行常规抗抑郁药物治疗、出院护理常规及健康教育,观察组在此基础上实施支持型自我管理模式干预.在出院时、出院后2月、4月、6月均采用汉密尔顿抑郁量表、自我效能量表、世界卫生组织生存质量测定简表评定.结果:干预后,观察组抑郁总分低于对照组(P＜0.05);观察组自我效能水平及生存质量量表中躯体健康、心理功能得分高于对照组(P＜0.05).结论:支持型自我管理模式有助于稳定抑郁症患者的情绪,改善其自我效能,提高生存质量.