动机性访谈对自杀意念的抑郁症患者抑郁水平和自杀意念的影响

摘要

Objective To evaluate the effect of motivational interviewing (MI) on the levels of depression and suicidal ideation in patients with depression . Methods Tolly 120 cases of depressive patients with suicidal ideation were randomly divided into intervention group and control group , 60 cases in each group . All the patients took antidepressants . The control group was in accordance with routine nursing , and the intervention group was in accordance with routine nursing and motivational interviewing . The Hamilton depression scale ( HAMD ) and the self-rating idea of suicide scale ( SIOSS ) were used for the assessment of both groups before and after intervention . The incidences of suicidal behaviors were compared . Results The scores of the HAMD and the SIOSS showed no significant difference before and 12 th week after intervention , the scores of the HAMD and the suicidal ideation and the SIOSS of the intervention group were significantly lower than that of the control group ( P<0 . 01 ) . Conclusion Motivational interviewing can reduce the levels of depression and suicidal ideation in the depressive patients . It plays a positive role in the prevention of suicidal behavior .%目的 探讨动机性访谈对自杀意念的抑郁症患者抑郁水平和自杀意念的影响.方法 将120例有自杀意念的抑郁症患者采用随机数字表法将其分为干预组和对照组,每组各60例.两组患者均服用抗抑郁药,对照组按照抑郁症的护理常规护理,干预组在执行护理常规的同时开展动机性访谈.在干预前与干预第12周后分别运用汉密尔顿抑郁量表(Hamilton depression scale,HAMD)和自杀意念自评量表(self-rating idea of suicide scale,SIOSS)对抑郁症患者进行评价.结果 干预前两组患者抑郁评分和自杀意念评分比较,差异无统计学意义(P>0.05);干预后干预组患者抑郁评分和自杀意念评分均低于对照组,两组比较,差异有统计学意义(均P<0.01).结论 动机性访谈能降低抑郁症患者的抑郁水平,缓解自杀意念的程度,促进心理健康.