CAJ | 학술논문

目的：研究分析支持性心理疗法在老年抑郁症患者中的应用效果及对生活质量的影响。方法选取我院自2012‐12—2013‐12收治的老年抑郁症患者98例，以数字表法随机分成观察组和对照组各49例。2组患者均给予常规性抗抑郁药物治疗，对照组给予一般性常规心理疏导，观察组在对照组基础上给予支持性心理疗法。根据 HAMD （汉密顿抑郁量表）、HAMA（汉密顿焦虑量表）评分判定患者临床治疗效果，根据患者健康评定量表（SF‐36）评分判定生活质量情况。分别于治疗前及治疗后12周，对2组患者进行HAMD、HAMA评分及SF‐36测量，并对比其得分情况及临床疗效。结果观察组患者治疗后12周 HAMD及HAMA评分均显著低于治疗前以及对照组治疗后，观察组临床治疗显效率及总有效率显著高于对照组，差异均有统计学意义（均 P＜0.05）。观察组治疗12周后S F‐36各维度中，总体健康、心理功能、情感职能、精力以及躯体疼痛的得分均显著高于治疗前以及对照组治疗后的水平，差异均有统计学意义（均 P＜0.05）。结论支持性心理疗法对于老年抑郁症患者应用效果良好，能够有效提高临床疗效，并利于提高患者生活质量，值得临床推荐。
목적：연구분석지지성심리요법재노년억욱증환자중적응용효과급대생활질량적영향。방법선취아원자2012‐12—2013‐12수치적노년억욱증환자98례，이수자표법수궤분성관찰조화대조조각49례。2조환자균급여상규성항억욱약물치료，대조조급여일반성상규심리소도，관찰조재대조조기출상급여지지성심리요법。근거 HAMD （한밀돈억욱량표）、HAMA（한밀돈초필량표）평분판정환자림상치료효과，근거환자건강평정량표（SF‐36）평분판정생활질량정황。분별우치료전급치료후12주，대2조환자진행HAMD、HAMA평분급SF‐36측량，병대비기득분정황급림상료효。결과관찰조환자치료후12주 HAMD급HAMA평분균현저저우치료전이급대조조치료후，관찰조림상치료현효솔급총유효솔현저고우대조조，차이균유통계학의의（균 P＜0.05）。관찰조치료12주후S F‐36각유도중，총체건강、심리공능、정감직능、정력이급구체동통적득분균현저고우치료전이급대조조치료후적수평，차이균유통계학의의（균 P＜0.05）。결론지지성심리요법대우노년억욱증환자응용효과량호，능구유효제고림상료효，병리우제고환자생활질량，치득림상추천。
Objective To study application effect of supportive psychotherapy therapy method for elderly patients with de‐pression and its impact on the quality of life. Methods A total of 98 cases with senile depression in our hospital from December 2012 to December 2013 were selected and randomly divided into observation group and control group by digital method ,49 ca‐ses in each group. Besides routine antidepressant treatment ,the control group was given routine psychological counseling ,the observation group received supportive psychotherapy on the basis of control group. The scores of HAMD ,HAMA anxiety scale were assessed as the criteria of clinical treatment efficacy ,and the quality of life were judged according to patients'health rating scale (SF‐36) score. Scores of all scales mentioned above were measured and compared before and after 12 weeks of treatment in the two groups.Results HAMA and HAMD scores after 12‐week treatment in the observation group were signifi‐cantly lower than that before treatment and in the control group after treatment ,total effective rate of the observation group was significantly higher than that of the control group ,all with statistical differences (P<0.05). SF‐36 different dimensions , overall health ,psychological function ,emotional function ,energy and physical pain scores were significantly higher after 12‐week treatment in observation group compared with both before treatment and the control group (all P<0.05).Conclusion The clinical effect of supportive psychotherapy for senile depression patients does well ,with effective improvement of the clini‐cal curative rate and patients'quality of life ,which is worthy of clinical recommendations.