CAJ | 학술논문

目的：了解老年护理院患者抑郁症状的发生率，观察综合性心理干预对老年抑郁症的疗效。方法选择光明社区卫生服务中心老年护理病房的163例患者，采用心理需求表、老年抑郁量表（GDS）和生活质量评定表，进行心理需求和生活质量的现状调查，筛查出60例患有早期抑郁症状的患者作为研究对象，随机分成干预组30例和对照组30例。干预组：在常规护理和基础疾病治疗的基础上，由专门受过心理疏导培训的医务人员负责综合性心理干预；对照组：常规护理加基础疾病治疗。两组病例观察时间均为9个月，有关资料进行统计学分析。结果老年护理院中36.8%的患者患有不同程度的抑郁症状。干预组的疗效与对照组相比，差异有统计学意义（P＜0.05）。结论老年护理院中患有忧郁症状的患者比较普遍，应引起医务人员的高度重视。实施综合性心理干预，可有效减轻或消除症状，对防止老年抑郁症和提高生活质量具有双重意义。
목적：료해노년호리원환자억욱증상적발생솔，관찰종합성심리간예대노년억욱증적료효。방법선택광명사구위생복무중심노년호리병방적163례환자，채용심리수구표、노년억욱량표（GDS）화생활질량평정표，진행심리수구화생활질량적현상조사，사사출60례환유조기억욱증상적환자작위연구대상，수궤분성간예조30례화대조조30례。간예조：재상규호리화기출질병치료적기출상，유전문수과심리소도배훈적의무인원부책종합성심리간예；대조조：상규호리가기출질병치료。량조병례관찰시간균위9개월，유관자료진행통계학분석。결과노년호리원중36.8%적환자환유불동정도적억욱증상。간예조적료효여대조조상비，차이유통계학의의（P＜0.05）。결론노년호리원중환유우욱증상적환자비교보편，응인기의무인원적고도중시。실시종합성심리간예，가유효감경혹소제증상，대방지노년억욱증화제고생활질량구유쌍중의의。
Objective To find out the occurrence rate of depressive symptoms of patients in geriatric nursing home. To observe the curative effect of comprehensive psychological intervention on depression of geriatric. Methods Select 163 patients in geriatric nursing home of guangming community health service center.Adopt psychological needs scale,geriatric depression scale(GDS)and quality of life(QOL)scale to onsite inspect psychological needs and life quality.60 patients with depressive symptoms in earlier stage are screened out as the research objectives,and divided into intervention group with 30 people and control group with 30 people.The intervention group:besides normal nursing and basic disease therapies,the medical staff,who received professional psychological persuasion training,are responsible for their comprehensive psychological intervention;the control group:receive normal nursing and basic disease therapies.The observation time of both groups are 9 months. Statistical analysis is made based on the related materials. Results 36.8%of the patients in the geriatric nursing home are suffered with depression symptoms in different degrees.The curative effect of the intervention group has significant difference compared with the curative effect of the control group(P < 0.05). Conclusion It is the common phenomena for the patients to be suffered with depression symptoms in geriatric nursing homes,which should arise high attention of medical staff.Implementation of comprehensive psychological intervention can alleviate or eliminate the symptoms effectively,which has double significance to prevent the depression symptoms for geriatric and improve their life quality.