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保护性约束结合共情护理模式用于重症抑郁症住院患者中的价值分析
祝红霞1      宋瑜婷1      程媛媛1      甘建光2
1.浙江省绍兴市第七人民医院重症精神病区,浙江绍兴   312000;
2.浙江省绍兴市第七人民医院精二科,浙江绍兴   312000
Analysis of the value of protective restraint combined with empathic care model for inpatients with severe depressive
ZHU Hongxia1   SONG Yuting1   CHENG Yuanyuan1   GAN Jianguang2#br#
1.Ward of Severe Psychiatric, Shaoxing Seventh People’s Hospital, Zhejiang Province, Shaoxing   312000, China; 
2.the Second Department of Psychiatric, Shaoxing Seventh People’s Hospital, Zhejiang Province, Shaoxing   312000, China
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摘要 目的 探讨重症抑郁症住院患者应用保护性约束联合共情护理模式的应用价值。 方法 选取2020年1月至2021年11月浙江省绍兴市第七人民医院临床心理学科收治的重度抑郁症患者150例为观察对象,采用随机数字表法均分为观察组与对照组,每组各75例。比较两组心理状态、遵医依从性、生活功能及不良事件发生情况。结果 观察组健康问卷抑郁量表、汉密尔顿抑郁量表评分低于对照组,差异有统计学意义(P < 0.05)。观察组遵医依从性高于对照组,差异有统计学意义(P < 0.05)。护理后,两组住院护士观察量表评分低于护理前,且观察组低于对照组,差异有统计学意义(P < 0.05)。观察组不良事件发生率低于对照组,差异有统计学意义(P < 0.05)。结论 重症抑郁症住院患者应用保护性约束结合共情护理模式能够提升患者生活功能与遵医行为,改善患者抑郁程度,恢复自信心,值得推广。
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祝红霞1 宋瑜婷1 程媛媛1 甘建光2
关键词 共情护理保护性约束重症抑郁症心理状态    
Abstract:Objective To explore the application value of protective restraint combined with empathic care model in hospitalized patients with severe depression. Methods One hundred and fifty patients with major depression admitted to the Department of Clinical Psychology of Shaoxing Seventh People’s Hospital were selected as the observation subjects, and they were divided into observation group and control group by the random number table method, with 75 cases in both group. The psychological status, compliance, life function and adverse events were compared between the two groups. Results The health questionnaire depression scale and Hamilton depression scale scores in the observation group were lower than those in the control group, and the differences were statistically significant (P < 0.05). The compliance rate of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). After care, the observation scale scores of inpatient nurses in both groups were lower than before care, while those of the observation group were lower than those of the control group, and the differences were statistically significant (P < 0.05). The incidence of adverse events in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion The application of protective restraint combined with empathic care model for inpatients with major depressive disorder can enhance patients’ life functions and compliance behaviors, improve their depression level and restore their self-confidence, and is worth promoting.
Key wordsEmpathic care    Protective restraint    Severe depression    Psychological state
    
基金资助:浙江省医药卫生科技计划项目(2020ZH058)。
引用本文:   
祝红霞1 宋瑜婷1 程媛媛1 甘建光2. 保护性约束结合共情护理模式用于重症抑郁症住院患者中的价值分析[J]. 中国医药导报, 2022, 19(31): 174-177.
ZHU Hongxia1 SONG Yuting1 CHENG Yuanyuan1 GAN Jianguang2. Analysis of the value of protective restraint combined with empathic care model for inpatients with severe depressive. 中国医药导报, 2022, 19(31): 174-177.
链接本文:  
https://www.yiyaodaobao.com.cn/CN/10.20047/j.issn1673-7210.2022.31.41     或     https://www.yiyaodaobao.com.cn/CN/Y2022/V19/I31/174

 

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