CAJ | 학술논문

目的：评价应用护理延伸服务模式对抑郁症患者生存质量及应对方式的影响。方法将60例患者入院时按所居住的社区街道入组，北塘区为观察组，南长区为对照组，每组各30例，两组患者住院期间均给予健康教育、康复训练，出院时予以出院健康指导。观察组患者出院后转入社区康复一体化研究体系持续进行护理延伸服务，并建立服务延伸档案，两组患者均随访12个月，采用简易应对方式评定量表（SCSQ）及世界卫生组织生存质量测定量表简表（WHOQOL-BREF）对患者的应对方式及生存质量进行评定，并统计两组患者复发率。结果两组患者入组时SCSQ评分及生存质量得分比较，差异无统计学意义（P＞0．05）。随访12个月后，观察组患者SCSQ评分中积极应对因子得分（1．79±0．37）高于对照组（1．25±0．42）分，消极应对因子得分（1．38±0．35）低于对照组（1．69±0．38）分，两组比较差异有统计学意义（t值分别为3．53，3．16；P＜0．01）。观察组患者WHOQOL-BREF量表生理领域、心理领域、社会关系及环境领域维度得分分别为（67．58±5．76），（75．57±5．32），（57．48±6．06），（62．26±6．23）分，明显高于对照组（64．52±7．51），（68．61±6．43），（53．59±6．12），（59．35±7．27）分，两组比较差异有统计学意义（t值分别为2．88，3．67，2．78，2．36；P＜0．01）。出院12个月末观察组复发3例，复发率为10．7％；对照组复发13例，复发率为43．3％，观察组复发率明显低于对照组，两组比较差异有统计学意义（χ2＝7．714，P＜0．01）。结论护理延伸服务模式有利于改善患者应对方式，降低复发率，提高生存质量。
목적：평개응용호리연신복무모식대억욱증환자생존질량급응대방식적영향。방법장60례환자입원시안소거주적사구가도입조，북당구위관찰조，남장구위대조조，매조각30례，량조환자주원기간균급여건강교육、강복훈련，출원시여이출원건강지도。관찰조환자출원후전입사구강복일체화연구체계지속진행호리연신복무，병건립복무연신당안，량조환자균수방12개월，채용간역응대방식평정량표（SCSQ）급세계위생조직생존질량측정량표간표（WHOQOL-BREF）대환자적응대방식급생존질량진행평정，병통계량조환자복발솔。결과량조환자입조시SCSQ평분급생존질량득분비교，차이무통계학의의（P＞0．05）。수방12개월후，관찰조환자SCSQ평분중적겁응대인자득분（1．79±0．37）고우대조조（1．25±0．42）분，소겁응대인자득분（1．38±0．35）저우대조조（1．69±0．38）분，량조비교차이유통계학의의（t치분별위3．53，3．16；P＜0．01）。관찰조환자WHOQOL-BREF량표생리영역、심리영역、사회관계급배경영역유도득분분별위（67．58±5．76），（75．57±5．32），（57．48±6．06），（62．26±6．23）분，명현고우대조조（64．52±7．51），（68．61±6．43），（53．59±6．12），（59．35±7．27）분，량조비교차이유통계학의의（t치분별위2．88，3．67，2．78，2．36；P＜0．01）。출원12개월말관찰조복발3례，복발솔위10．7％；대조조복발13례，복발솔위43．3％，관찰조복발솔명현저우대조조，량조비교차이유통계학의의（χ2＝7．714，P＜0．01）。결론호리연신복무모식유리우개선환자응대방식，강저복발솔，제고생존질량。
Objective To explore the effect of the extended nursing services model on coping style and life quality of patients with depression .Methods Sixty patients were admitted by the community street living into the group, the patients in Beitang district were assigned to the observation group (n=30), and the patients in Nanchang district were assigned to the control group ( n=30 ) .The patients received health education and rehabilitation during hospitalization , health guidance in the discharge , and were followed up for 12 months.The patients in the observation group were transferred to the research system on the integration of community -based rehabilitation , were given the extended nursing services , and were established the service extension file .The coping style and life quality of patients were assessed by the simplified coping style assessment scale ( SCSQ ) and WHO quality of life BREF ( WHOQOL-BREF ) , and the relapse rate was analyzed between two groups . Results No significant differences were found in the scores of SCSQ and the life quality before intervention (P>0.05).The scores of positive and negative response factors were respectively ( 1.79 ±0.37 ), (1.38 ±0.35) in the observation group 12 months after follow-up, and were respectively (1.25 ±0.42), (1.69 ±0.38) in the control group, and the differences were statistically significant ( t =3.53, 3.16, respectively;P <0.01).The scores of physical, psychological, social relations and environmental fields in WHOQOL-BREF scale were respectively (67.58 ±5.76), (75.57 ±5.32), (57.48 ±6.06), (62.26 ± 6.23) in the observation group12 months after follow-up, and were significantly higher than (64.52 ±7.51), (68.61 ±6.43), (53.59 ±6.12), (59.35 ±7.27) in the control group, and the differences were statistically significant (t=2.88, 3.67, 2.78, 2.36, respectively;P<0.01).The relapse rate was 10.7%(3 cases) in the observation group 12 months after follow-up, and was 43.3% (13 cases) in the control group, and the difference was statistically significant (χ2 =7.714, P<0.01).Conclusions The extended nursing services model is helpful to improve the patients ’ coping style , reduce the relapse rate and increase the quality of life .