四維多元延伸護理對抑郁癥患者認知功能、生活質量及心理健康的影響

【摘要】 目的：探討四維多元延伸護理對抑郁癥患者認知功能、生活質量及心理健康的影響。方法：2021年1月—2022年6月，于福建省福州神經精神病防治院就診的抑郁癥患者中選取200例，隨機將其分常規護理（CO）組和四維多元延伸護理（FN）組，每組100例。CO組采用常規護理，FN組采用四維多元延伸護理。觀察兩組認知功能、生活質量及心理健康等情況。結果：與CO組對比，FN組顯效例數多10例，無效例數少17例，FN組總有效率（92.00%）明顯高于CO組（75.00%），差異有統計學意義（Plt;0.05）。護理前，兩組修訂版韋氏成人記憶量表（WMS-RC）中短時記憶分、長時記憶分、瞬間記憶分和記憶商數評分比較，差異均無統計學意義（Pgt;0.05）；護理后，兩組上述評分均顯著升高，且FN組均比CO組高（Plt;0.05）。護理前，兩組生命質量綜合評定問卷-74（GQOL-74）中軀體功能、物質生活、社會功能、心理功能評分比較差異均無統計學意義（Pgt;0.05）；護理后，兩組上述評分均顯著升高，且FN組均比CO組高（Plt;0.05）。護理前，兩組癥狀自評量表（SCL-90）評分比較，差異均無統計學意義（Pgt;0.05）；護理后，兩組SCL-90評分均較護理前降低，且FN組均比CO組明顯降低（Plt;0.05）。結論：四維多元延伸護理對抑郁癥患者，比常規護理效果更佳，可顯著提高患者認知功能，改善生活質量及心理健康。

【關鍵詞】 四維多元延伸護理 抑郁癥 認知功能 生活質量 心理健康

Effect of Four-dimensional Multivariate Extended Nursing on Cognitive Function， Quality of Life and Mental Health in Patients with Depressive Disorder/CHEN Li， DONG Qiong. //Medical Innovation of China， 2023， 20（31）： 108-112

[Abstract] Objective： To explore the effects of four-dimensional multivariate extended nursing on cognitive function， quality of life and mental health of patients with depressive disorder. Method： From January 2021 to June 2022， 200 patients with depressive disorder were treated in Fuzhou Neuropsychiatric Prevention and Treatment Hospital of Fujian Province were selected and randomly divided into the conventional nursing （CO） group and the four-dimensional multivariate extended nursing （FN） group， with 100 cases in each group. The CO group was given routine nursing， and the FN group was given four-dimensional multivariate extended nursing. The cognitive function， quality of life and mental health of patients in the two groups were observed. Result： Compared with CO group， the number of obvious effect in FN group was 10 more， and the number of ineffective patients was 17 less， the total effective rate in FN group （92.00%） was significantly higher than that in CO group （75.00%）， the difference was statistically significant （Plt;0.05）. Before nursing， there were no significant differences in the scores of short-term memory， long-term memory， instant memory and memory quotient of Wechsler adult memory scale-RC （WMS-RC） between the two groups （Pgt;0.05）; after nursing， the above scores of the two groups were significantly increased， and the FN group was higher than the CO group （Plt;0.05）. Before nursing， there were no significant differences in the scores of physical function， material life， social function and psychological function of generic quality of life-74 （GQOL-74） between the two groups （Pgt;0.05）; after nursing， the above scores of the two groups were significantly increased， and the FN group were higher than those of the CO group （Plt;0.05）. Before nursing， there were no significant differences in symptom checklist-90 （SCL-90） scores between the two groups （Pgt;0.05）; after nursing， the SCL-90 scores of the two groups were lower than those before nursing， and the score of the FN group was significantly lower than that of the CO group （Plt;0.05）. Conclusion： Four-dimensional multivariate extended nursing is more effective than routine nursing for patients with depressive disorder， which can significantly improve the cognitive function of patients， improve the quality of life and mental health.

[Key words] Four-dimensional multivariate extended nursing Depressive disorder Cognitive function Quality of life Mental health

First-author's address： Fuzhou Neuropsychiatric Prevention and Treatment Hospital of Fujian Province， Fuzhou 350007， China

doi：10.3969/j.issn.1674-4985.2023.31.025

抑郁癥是臨床常見精神疾病，全世界有超過3.2億人發病，這給患者帶來了極大痛苦，且該病患者具有不同程度的自殺傾向，據調查顯示，在自殺死亡者中有一半以上都為抑郁癥，嚴重威脅著患者的生命安全[1-3]。……