CAJ | 학술논문

目的探讨抑郁症患者采用中医辨证施护综合干预的效果.方法将93例抑郁症患者随机分为观察组48例和对照组45例.两组均采用抗抑郁中西药治疗,对照组采用常规护理,观察组在此基础上将患者分为肝郁气滞、肝郁脾虚、肝郁痰阻、心脾两虚、心肾不交5个证型,按照不同中医证型,给予药膳疗法、耳穴埋豆疗法、音乐疗法综合干预.用汉密尔顿抑郁量表积分对两组患者入院时、干预后4周、8周进行效果评定.结果观察组在干预后4周、8周汉密尔顿抑郁量表积分与对照组比较差异有统计学意义(P<0.05),汉密尔顿抑郁量表减分率的临床疗效优于对照组,两组比较差异有统计学意义(P<0.01).结论药膳疗法、耳穴埋豆疗法、音乐疗法等中医辨证施护综合干预能有效改善患者抑郁、焦虑、失眠等症状,提高患者临床疗效.
목적탐토억욱증환자채용중의변증시호종합간예적효과.방법장93례억욱증환자수궤분위관찰조48례화대조조45례.량조균채용항억욱중서약치료,대조조채용상규호리,관찰조재차기출상장환자분위간욱기체、간욱비허、간욱담조、심비량허、심신불교5개증형,안조불동중의증형,급여약선요법、이혈매두요법、음악요법종합간예.용한밀이돈억욱량표적분대량조환자입원시、간예후4주、8주진행효과평정.결과관찰조재간예후4주、8주한밀이돈억욱량표적분여대조조비교차이유통계학의의(P<0.05),한밀이돈억욱량표감분솔적림상료효우우대조조,량조비교차이유통계학의의(P<0.01).결론약선요법、이혈매두요법、음악요법등중의변증시호종합간예능유효개선환자억욱、초필、실면등증상,제고환자림상료효.
Objective To explore the comprehensive intervention effects of the traditional Chinese medical syndrome differentiation nursing on the treatment of depression. Methods Ninety-three patients with depression were randomly divided into observation group (n=48) and control group (n=45). The patients in control group received anti-depressive therapy and routine nursing care, and traditional Chinese medical syndrome differentiation intervention was applied to the patients in observation group based on the routine antidepressant treatment. Hamilton Depression Scale (HAMD) was used to evaluate the effects of treatment on admission, 4 and 8 weeks after the intervention. Results There was statistically significant difference in the comparison of the scores of HAMD 4 and 8 weeks after the intervention and the total effective rate according to subtracting rate of HAMD between two groups (P<0.05). The differences in the comparison of the clinical efficacy were statistically significant (P<0.05). Conclusion The comprehensive intervention of the traditional Chinese medical dialectic nursing can relieve the symptoms of depression, anxiety and insomnia, and enhance the curative effect.