以时机理论为中心的延续性护理模式在抑郁症患者中的应用效果

陈新霞; 周苏明; 董奇芳; 冯虹

doi:10.16766/j.cnki.issn.1674-4152.003271

以时机理论为中心的延续性护理模式在抑郁症患者中的应用效果

doi: 10.16766/j.cnki.issn.1674-4152.003271

1.
绍兴市第七人民医院精神科，浙江绍兴 312000
2.
绍兴市第七人民医院心身障碍科

基金项目:

浙江省医药卫生科技计划项目 2022RC279

详细信息

通讯作者:
陈新霞, E-mail: chenxinxiacxx@163.com

中图分类号: R473.74R749.41
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- 文章访问数: 356
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- PDF下载量: 16
- 被引次数: 0
出版历程
- 收稿日期: 2023-06-15
- 网络出版日期: 2024-01-13

Application effect of a continuous nursing care centered on timing theory in patients with depression

1.
Psychiatric Department, Shaoxing Seventh People's Hospital, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的分析以时机理论为中心的延续性护理模式在抑郁症患者中的应用效果，探讨其对患者抑郁症状、自我效能感、生活质量及服药依从性的影响，为临床护理提供新思路。方法选取2022年4月—2023年3月绍兴市第七人民医院收治的116例抑郁症患者作为研究对象，根据随机数字表法将其分为对照组(58例)和观察组(58例)，对照组应用常规护理，观察组在对照组基础上应用以时机理论为中心的延续性护理模式。比较2组患者干预前后抑郁症状、自我效能感、生活质量及服药依从性情况。结果干预后，观察组患者汉密尔顿抑郁量表得分为(10.15±2.05)分，明显低于对照组[(13.28±2.27)分，P＜0.05]；干预后，观察组症状管理自我效能及疾病共性管理自我效能评分分别为(18.13±2.16)分、(20.29±1.03)分，均高于对照组[(15.62±2.39)分、(16.55±2.74)分，均P＜0.05]；干预后，观察组患者健康调查量表各维度得分均高于对照组(均P＜0.05)；观察组服药依从性为94.8%(55/58)，高于对照组的81.0%(47/58, P＜0.05)。结论以时机理论为中心的延续性护理模式能改善抑郁症患者抑郁症状，提高患者自我效能感及生活质量，对患者提高服药依从性具有积极的作用。
- 抑郁症 /
- 时机理论 /
- 延续性护理 /
- 服药依从性 /
- 生活质量
Abstract: Objective To analyze the application effect of the continuity nursing model based on timing theory in patients with depression. To explore its influence on patients' depressive symptoms, self-efficacy, quality of life and medication compliance, and to provide new ideas for clinical nursing. Methods A total of 116 patients with depression who were admitted to the Seventh People's Hospital in Shaoxing from April 2022 to March 2023 were selected as the research subjects. They were divided into a control group and an observation group according to the random number table method, with 58 cases in each group. The control group applied conventional care, and the observation group applied the continuous care model based on the timing theory on the basis of the control group. To compare the depressive symptoms, self-efficacy, quality of life, and medication adherence of two groups of patients before and after intervention. Results After intervention, the Hamilton depression scale (HAMD-24) score of the observation group was (10.15±2.05) points, which was significantly lower than that in control group [(13.28±2.27) points, P < 0.05]. After intervention, the symptom management self-efficacy and disease commonality management self-efficacy scores of the observation group were (18.13±2.16) points and (20.29±1.03) points, respectively, which were higher than those in the control group [(15.62±2.39) points, (16.55±2.74) points, all P < 0.05]. After intervention, the scores of all dimensions of the 36-item short form health survey were higher in the observation group than in the control group (P < 0.05). Medication adherence in the observation group was 94.8% (55/58), which was higher than 81.0% (47/58) in the control group (P < 0.05). Conclusion The continuous care model based on timing theory can improve depression symptoms, increase self-efficacy and quality of life in patients with depression, and have a positive effect on medication compliance.
- Depression /
- Timing theory /
- Continuing care /
- Medication adherence /
- Quality of life

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表 1 2组抑郁症患者一般情况比较

Table 1. Comparison of general situation between two groups of patients with depression

组别	例数	性别(例)		年龄(x±s，岁)	病程(x±s，月)	文化程度(例)
组别	例数	男性	女性	年龄(x±s，岁)	病程(x±s，月)	初中	中专/高中	大专/大学及以上
对照组	58	25	33	35.27±4.66	14.25±3.92	8	20	30
观察组	58	28	30	35.33±4.81	14.20±4.25	10	23	25
统计量		0.313^a		0.068^b	0.066^b	0.886^a
P值		0.576		0.946	0.948	0.642
注：^a为χ²值，^b为t值。

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表 2 2组抑郁症患者干预前后抑郁症状评分比较(x±s，分)

Table 2. Comparison of depression symptom scores between two groups of patients with depression before and after intervention (x±s, points)

组别	例数	干预前	干预后
对照组	58	26.55±4.14	13.28±2.27^a
观察组	58	26.63±4.27	10.15±2.05^a
t值		0.102	7.624
P值		0.919	< 0.001
注：与同组干预前比较，^aP < 0.05。

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表 3 2组抑郁症患者干预前后自我效能评分比较(x±s，分)

Table 3. Comparison of self-efficacy scores between two groups of patients with depression before and after intervention (x±s, points)

组别	例数	症状管理自我效能		疾病共性管理自我效能
组别	例数	干预前	干预后	干预前	干预后
对照组	58	8.72±1.16	15.62±2.39^a	7.66±1.34	16.55±2.74^a
观察组	58	8.77±1.21	18.13±2.16^a	7.61±1.25	20.29±1.03^a
t值		0.227	5.934	0.208	9.730
P值		0.921	< 0.001	0.836	< 0.001
注：与同组干预前比较，^aP < 0.05。

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表 4 2组抑郁症患者干预前后生活质量评分比较(x±s，分)

Table 4. Comparison of quality of life scores between two groups of patients with depression before and after intervention (x±s, points)

组别	例数	生理机能		生理职能		躯体疼痛		一般健康状况
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
对照组	58	75.13±4.82	79.00±5.14^a	77.51±4.12	80.42±5.19^a	73.82±3.96	74.14±4.07	78.99±3.95	83.15±4.01^a
观察组	58	75.07±4.31	83.15±4.22^a	77.60±3.86	84.75±4.20^a	73.91±4.13	77.65±3.82^a	79.14±4.23	85.87±3.29^a
t值		0.071	4.752	0.121	4.939	0.117	4.789	0.197	3.528
P值		0.944	< 0.001	0.904	< 0.001	0.907	< 0.001	0.844	0.001

组别	例数	精力		社会功能		情感职能		精神健康
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
对照组	58	72.19±4.18	81.33±3.94^a	73.11±4.13	79.89±6.10^a	75.41±4.38	79.88±3.91^a	70.33±3.46	78.81±3.72^a
观察组	58	72.26±4.40	86.72±3.75^a	73.02±3.99	85.47±5.54^a	75.33±3.72	84.15±4.03^a	70.24±3.85	83.14±3.11^a
t值		0.088	7.547	0.119	5.157	0.106	5.791	0.132	6.801
P值		0.930	< 0.001	0.905	< 0.001	0.916	< 0.001	0.895	< 0.001
注：与同组干预前比较，^aP < 0.05。

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表 5 2组抑郁症患者服药依从性比较

Table 5. Comparison of medication adherence between two groups of patients with depression

组别	例数	良好 [例(%)]	中等 [例(%)]	差 [例(%)]	服药依从性 (%)
对照组	58	34(58.6)	13(22.4)	11(19.0)	81.0(47/58)
观察组	58	40(69.0)	15(25.9)	3(5.2)	94.8(55/58)
注：2组服药依从性比较，χ²=5.199，P=0.023。

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