|
|
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 |
|
|
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.
|
|
|
|
|
[1] 李奕慧,刘小珍,刘迎军,等.重度抑郁症患者任务态和静息态脑功能磁共振成像研究[J].中国临床心理学杂志,2017,25(3):393-399,405.
[2] 付可登,李松华,胡媛媛,等.重度抑郁症患者自杀意念相关因素及干预现状调查研究[J].中国预防医学杂志,2020,21(6):707-710.
[3] 高丽娟,赵欣,李建国,等.重度抑郁症发病机制相关基因的生物信息学分析[J].生理学报,2018,70(4):361- 368.
[4] 伍丽嫦.保护性约束护理在精神分裂症患者中的应用及其对患者心理反应与躯体的影响[J].中国医药科学,2021, 11(10):118-121.
[5] 鲍晓娟.共情护理模式在抑郁症患者护理中的应用效果探讨[J].中国基层医药,2021,28(1):152-154.
[6] Mittal VA,Walker EF. Diagnostic and statistical manual of mental disorders [J]. Psychiatry Res,2011,189(1):158- 159.
[7] 美国精神医学学会,张道龙.精神疾病诊断与统计手册[M].北京:北京大学医学出版社,2014.
[8] 荣健,戈艳红,孟娜娜,等.2010~2019年中国老年人抑郁症患病率的Meta分析[J].中国循证医学杂志,2020,20(1):26-31.
[9] 杨怀莉,罗明,陈仁德,等.城市人群中抑郁症状的分析及基于抑郁症的发生率调查的总结[J].健康必读,2020(11):255.
[10] 世界卫生组织.抑郁症或将成人类第二大疾患[J].党课,2013(16):18.
[11] 佚名.抑郁症成为全世界最常见的疾病[J].世界知识,2017(8):76.
[12] 龚慧,江沛,李焕德.抑郁症临床表现与治疗的性别差异[J].中国临床药理学杂志,2012,28(11):872-874.
[13] 陶丹,李朋,宣宾,等.临床抑郁症和阈下抑郁个体的时间知觉模式及其神经机制[J].科学通报,2018,63(20):2036-2047.
[14] 刘欢,王海军,高明周,等.基于抑郁症临床诊断标准的病机探讨[J].中华中医药杂志,2016,31(7):2499-2501.
[15] 吴晓敏,杨亚喜,谢美娟.精神科临床保护性约束对患者及家属影响的调查分析研究[J].中国医药科学,2020, 10(10):152-155.
[16] 葛颖萍.共情理论在精神科护理管理中的应用[J].中医药管理杂志,2018,26(18):184-186.
[17] 鲍晓娟.共情护理模式在抑郁症患者护理中的应用效果探讨[J].中国基层医药,2021,28(1):152-154.
[18] 刘婷,黄旭华,穆青.共情护理在抑郁症患者中的应用价值[J].贵州医药,2021,45(12):2007-2009.
[19] 林彩凤,程蕾,廖淑芳.人文关怀结合共情疗法对抑郁症患者自尊水平、抑郁情绪及生活功能的影响[J].齐鲁护理杂志,2021,27(17):138-140.
[20] 曹榆,谢宝昌,蓝莉萍.气压治疗配合康复训练对保护性约束精神病患者下肢深静脉血栓的预防效果[J].中国医学创新,2022,19(24):91-95.
[21] Manish K,Bruce D,Joseph M,et al. A Structured Approach to Detecting and Treating Depression in Primary Care:VitalSign6 Project [J]. Ann Fam Med,2019,17(4):326-335.
[22] Jeffrey S,Kathryn R,Paul N,et al. Impact of Ongoing Primary Care Intervention on Long Term Outcomes In Uninsured and Insured Patients With Depression [J]. Medical Care,2002,40(12):1210-1222.
[23] 李青锋,蒋威,左波,等.精神科护士保护性约束态度、行为与伦理氛围认知的现状及相关性分析[J].护士进修杂志,2020,35(4):342-347.
[24] 陈杨,陈革.精神病患者保护性约束中人性化护理的运用[J].健康之友,2020(1):264. |
|
|
|