中国民康医学
中國民康醫學
중국민강의학
MEDICAL JOURNAL OF CHINSEE PEOPLE HEALTH
2014年
20期
4-7
,共4页
工娱疗法%抑郁症%影响因素
工娛療法%抑鬱癥%影響因素
공오요법%억욱증%영향인소
Occupation recreational therapy%Depression%Influencing factor
目的：探讨影响工娱疗法对抑郁症患者疗效的因素。方法：共有90例抑郁症患者接受工娱疗法干预,用24项汉密尔顿抑郁量表、应对方式问卷、社会支持量表对其疗效评定,分析影响工娱疗法对抑郁症疗效的因素。结果：90例患者中,工娱疗法效果好的占81.11％(73例),效果差占18.89％(17例),经单因素分析,两组患者在起病形式﹑发病次数﹑住院次数﹑是否伴有慢性躯体疾病﹑治疗依从性﹑应对方式问卷中求助因子分﹑解决问题因子分﹑自责因子分﹑退避因子分﹑社会支持评定量表中的客观支持因子分﹑主观支持因子分及支持利用度因子分等方面存在显著性差异(P<0.05)。经Logistic回归分析,影响工娱疗法疗效的主要因素依次为治疗依从性好(r=53341.926,P=0.028),主观支持因子分高(r=62.081,P=0.040),支持利用度因子分高(r=13.348,P=0.038)。结论：工娱疗法对抑郁症的疗效受治疗依从性﹑主观支持﹑支持利用度的影响。
目的：探討影響工娛療法對抑鬱癥患者療效的因素。方法：共有90例抑鬱癥患者接受工娛療法榦預,用24項漢密爾頓抑鬱量錶、應對方式問捲、社會支持量錶對其療效評定,分析影響工娛療法對抑鬱癥療效的因素。結果：90例患者中,工娛療法效果好的佔81.11％(73例),效果差佔18.89％(17例),經單因素分析,兩組患者在起病形式﹑髮病次數﹑住院次數﹑是否伴有慢性軀體疾病﹑治療依從性﹑應對方式問捲中求助因子分﹑解決問題因子分﹑自責因子分﹑退避因子分﹑社會支持評定量錶中的客觀支持因子分﹑主觀支持因子分及支持利用度因子分等方麵存在顯著性差異(P<0.05)。經Logistic迴歸分析,影響工娛療法療效的主要因素依次為治療依從性好(r=53341.926,P=0.028),主觀支持因子分高(r=62.081,P=0.040),支持利用度因子分高(r=13.348,P=0.038)。結論：工娛療法對抑鬱癥的療效受治療依從性﹑主觀支持﹑支持利用度的影響。
목적：탐토영향공오요법대억욱증환자료효적인소。방법：공유90례억욱증환자접수공오요법간예,용24항한밀이돈억욱량표、응대방식문권、사회지지량표대기료효평정,분석영향공오요법대억욱증료효적인소。결과：90례환자중,공오요법효과호적점81.11％(73례),효과차점18.89％(17례),경단인소분석,량조환자재기병형식﹑발병차수﹑주원차수﹑시부반유만성구체질병﹑치료의종성﹑응대방식문권중구조인자분﹑해결문제인자분﹑자책인자분﹑퇴피인자분﹑사회지지평정량표중적객관지지인자분﹑주관지지인자분급지지이용도인자분등방면존재현저성차이(P<0.05)。경Logistic회귀분석,영향공오요법료효적주요인소의차위치료의종성호(r=53341.926,P=0.028),주관지지인자분고(r=62.081,P=0.040),지지이용도인자분고(r=13.348,P=0.038)。결론：공오요법대억욱증적료효수치료의종성﹑주관지지﹑지지이용도적영향。
Objective:To explore influencing factors of efficacy of occupation recreational therapy for patients with depression. Methods:A total of 90 patients with depression receiving occupation recreational therapy were evaluated with the Hamilton depression scale ( HAMD) , coping methods inventory ( CMI) and social support rating scale ( SSRS) . The related factors which affected the effi-cacy were analyzed. Results:There were 73 patients (81. 11%) with good curative effect and 17 patients (18. 89%) with poor cura-tive effect. Through the single-factor analysis, between the two groups, there were significant differences in illness onset pattern, ill-ness attack times, hospitalizing time, accompanying chronic somatic disorders, compliance, and asking for help factor, solving problem factor, remorse factor and withdraw scores in CMI, as well as objective support factor, subjective support factor and using support de-gree factors in SSRS (P<0. 05). Logistic regression analysis showed that the main factors that influenced the efficacy of occupation rec-reational therapy were high compliance (r=53341. 926, P=0. 028), high subjective support factor score (r=62. 081, P=0. 040), and high using support degree factor score (r=13. 348, P=0. 038). Conclusions:The efficacy of occupation recreational therapy for the patients with depression is associated with compliance, subjective support and using support factors.
