医院管理论坛
醫院管理論罈
의원관이론단
HOSPITAL MANAGEMENT FORUM
2014年
3期
28-30
,共3页
抑郁症%开放式管理%效果%社会功能
抑鬱癥%開放式管理%效果%社會功能
억욱증%개방식관리%효과%사회공능
depression%open-ward management%effectiveness%social function
目的探讨开放式管理模式对抑郁症患者的康复效果。方法将168例抑郁症患者按入院顺序分成观察组和对照组，在常规治疗和护理的基础上对观察组采用开放式管理模式，对照组采用传统的封闭式管理模式。采用汉密尔顿抑郁量表（HAMD）分别评估患者在入院时、住院2周末、住院4周末、住院6周末、出院2周末的评分，以观察疗效；利用护士住院病人观察量表（NOSIE）分别评估患者在入院时、出院时各因子变化，了解社会功能恢复情况。结果(1)两组患者HAMD评分比较，入院时无差异(P>0.05)，第2周末起两组HAMD评分均显著下降(P<0.01)，且观察组评分低于对照组(P<0.05)，出院2周时两组患者评分结果比较，观察组评分低于对照组(P<0.01)。（2）两组患者在入院时NOSIE各因子分比较无差异(P>0.05)，但出院时，两组患者NOSIE的各因子分比较有差异，其中社会能力、社会兴趣、个人整洁因子评分出院时观察组评分高于对照组(P<0.01)；激惹、精神病性症表现、退缩、抑郁因子评分出院时观察组低于对照组(P<0.01)。结论抑郁症住院患者实施开放管理模式减少患者的住院天数，也促进了患者的总体康复。
目的探討開放式管理模式對抑鬱癥患者的康複效果。方法將168例抑鬱癥患者按入院順序分成觀察組和對照組，在常規治療和護理的基礎上對觀察組採用開放式管理模式，對照組採用傳統的封閉式管理模式。採用漢密爾頓抑鬱量錶（HAMD）分彆評估患者在入院時、住院2週末、住院4週末、住院6週末、齣院2週末的評分，以觀察療效；利用護士住院病人觀察量錶（NOSIE）分彆評估患者在入院時、齣院時各因子變化，瞭解社會功能恢複情況。結果(1)兩組患者HAMD評分比較，入院時無差異(P>0.05)，第2週末起兩組HAMD評分均顯著下降(P<0.01)，且觀察組評分低于對照組(P<0.05)，齣院2週時兩組患者評分結果比較，觀察組評分低于對照組(P<0.01)。（2）兩組患者在入院時NOSIE各因子分比較無差異(P>0.05)，但齣院時，兩組患者NOSIE的各因子分比較有差異，其中社會能力、社會興趣、箇人整潔因子評分齣院時觀察組評分高于對照組(P<0.01)；激惹、精神病性癥錶現、退縮、抑鬱因子評分齣院時觀察組低于對照組(P<0.01)。結論抑鬱癥住院患者實施開放管理模式減少患者的住院天數，也促進瞭患者的總體康複。
목적탐토개방식관리모식대억욱증환자적강복효과。방법장168례억욱증환자안입원순서분성관찰조화대조조，재상규치료화호리적기출상대관찰조채용개방식관리모식，대조조채용전통적봉폐식관리모식。채용한밀이돈억욱량표（HAMD）분별평고환자재입원시、주원2주말、주원4주말、주원6주말、출원2주말적평분，이관찰료효；이용호사주원병인관찰량표（NOSIE）분별평고환자재입원시、출원시각인자변화，료해사회공능회복정황。결과(1)량조환자HAMD평분비교，입원시무차이(P>0.05)，제2주말기량조HAMD평분균현저하강(P<0.01)，차관찰조평분저우대조조(P<0.05)，출원2주시량조환자평분결과비교，관찰조평분저우대조조(P<0.01)。（2）량조환자재입원시NOSIE각인자분비교무차이(P>0.05)，단출원시，량조환자NOSIE적각인자분비교유차이，기중사회능력、사회흥취、개인정길인자평분출원시관찰조평분고우대조조(P<0.01)；격야、정신병성증표현、퇴축、억욱인자평분출원시관찰조저우대조조(P<0.01)。결론억욱증주원환자실시개방관리모식감소환자적주원천수，야촉진료환자적총체강복。
Objective To investigate the rehabilitation effectiveness of open-ward management for hospitalized patients with depression. Methods According to their hospitalization order, 168 patients with depression were divided into the observation group (83 patients) with open-ward management service and the control group (85 ones) with closed-end management on the basis of routine treatment and care. Hamilton Depression Scale (HAMD) was used to assess the mental condition at the admission, the end of 2nd week, 4th week and 6th week of the hospitalization and the end of 2nd week after discharge. The Nurses' Observation Scale for Inpatient Evaluation (NOSIE) was used to compare the factors at admission and discharge and investigate the rehabilitation effects. Results 1) No difference was found in HAMD score between the two groups at baseline (p>0.05);from the 2nd week of hospitalization, HAMD score of both groups decreased significantly (p<0.05) and the open-ward group was significantly lower (p<0.05);the score was still lower for observation group at the end of 2nd week after discharge (P<0.01). 2) No difference was observed in NOSIE score between the two groups at baseline (p>0.05);when discharged from hospital, the score of the open-ward group increased more sharply in the three factors, including social function, social interest and personal cleanliness (p<0.01) and decreased more significantly in the four factors including irritability, psychotic disorders performance, withdrawals and depression (p<0.01). Conclusion Implementation of the open-ward management could reduce the length of stay for hospitalized patients with depression and at the same time contribute to the overall rehabilitation of patients.
