CAJ | 학술논문

[目的]探讨心理干预对改善多发硬化患者抑郁的有效性。[方法]选择2011年10月至2013年2月入住本院神经内科的64例多发硬化伴发抑郁的患者按先后时间段分为对照组32例和干预组32例，干预组在常规护理的基础上，实施心理干预，对照组给予常规护理。两组患者在干预前后分别用抑郁自评量表（SDS）及生活质量量表（SF-36）进行评定。[结果]干预组抑郁得分在干预前后差异有统计学意义（ P ＜0．05）；对照组无统计学意义（ P＞0．05）；干预组干预前后生活质量评定八个维度得分均高于干预前，差异具有统计学意义（P ＜0．05）；与对照组相比，生活质量评定八个维度得分均高于对照组（P ＜0．05）差异具有统计学意义。[结论]心理干预措施能有效地改善多发性硬化患者的抑郁状态，在提高患者生活质量上起着积极地作用。
[목적]탐토심리간예대개선다발경화환자억욱적유효성。[방법]선택2011년10월지2013년2월입주본원신경내과적64례다발경화반발억욱적환자안선후시간단분위대조조32례화간예조32례，간예조재상규호리적기출상，실시심리간예，대조조급여상규호리。량조환자재간예전후분별용억욱자평량표（SDS）급생활질량량표（SF-36）진행평정。[결과]간예조억욱득분재간예전후차이유통계학의의（ P ＜0．05）；대조조무통계학의의（ P＞0．05）；간예조간예전후생활질량평정팔개유도득분균고우간예전，차이구유통계학의의（P ＜0．05）；여대조조상비，생활질량평정팔개유도득분균고우대조조（P ＜0．05）차이구유통계학의의。[결론]심리간예조시능유효지개선다발성경화환자적억욱상태，재제고환자생활질량상기착적겁지작용。
[Objective] To explore the effectiveness of psychological intervention for improving the depres-sion in patients with multiple sclerosis .[Methods]A total of 64 patients with multiple sclerosis and depression admitted to our hospital from Oct .2011 to Feb .2011 were chosen and randomly divided into intervention group( n=32) and control group( n=32) .The intervention group was given psychological intervention based on routine care ,while the control group was given routine care .Self-reported depression scale(SDS) and quali-ty of life scale(SF-36) were used for the assessment of patients in two groups before and after intervention .[Results] There was significant difference in depression scores of intervention group between before and after intervention( P <0 .05) ,but there was no significant difference in depression scores of control group between before and after intervention( P>0 .05) .In intervention group ,the scores of 8 dimensions of quality of life assessment after intervention were higher than those before intervention ,and there was significant difference( P <0 .05) .The scores of 8 dimensions of quality of life assessment in intervention group were higher than those in control group ,and there was significant difference( P<0 .05) .[Conclusion] Psychological interven-tion can effectively improve depressive state of patients with multiple sclerosis ,and plays a positive role in im-proving the quality of life in patients .