【摘要】 目的对抑郁症患者进行规律的为期3年的中西医结合健康教育,并与未进行健康教育的患者对照,以探讨中西医结合健康教育在干预抑郁症复发和康复方面的作用。方法采用以中西医理论为基础的健康教育方式,对56例抑郁症患者在住院期间及痊愈出院后定期干预3年,住院期间主要在每日查房时和个别心理治疗中穿插进行,患者家属探视和出院时对患者家属进行健康教育。出院后要求患者半年内每月复诊1次,0.5～1.5年,3个月复诊1次,1.5年后6个月复诊1次,在复诊时强化院内健康教育内容,以及针对患者心理变化,遇到的心理问题社会问题进行健康教育,干预其复发。另设42例进行常规药物及心理治疗的患者作为对照,疗程结束后比较两组复发率及相关因素。结果研究组和对照组复发率比较差异有显著性意义(χ2=18.971,P<0.01)。研究组与对照组比较,其服药依从性比较(χ2=19.717,P<0.01),SDSS评分比较(t=5.724,P<0.01),差异均有显著性意义。自杀发生率研究组4%,对照组17%,(χ2=4.929,P<0.05)研究组低于对照组。结论中西医结合健康教育可以有效干预抑郁症复发。更多还原

【Abstract】 Aim To explore the effective intervention of health education based on combination of TCM and western medicine in recurrence and rehabilitation of depression. Methods Fifty six patients with depression (study group) were intervened by health education on a basis of combination of TCM and western medicine theory in hospital, including everyday examination psychotherapy, individual psychotherapy and education for patients family, and out of hospital after recovery for three years, including return visit every 1month within half a year, every 3 months with 0.5-1.5 years and every 6months within 1.5-3.0 years, and then compared with 42 depression patients (control group) without health education. Results The recurrence rate (χ2=18.971), compliance of drug (χ2=19.717) and SDSS scores (t=5.724) showed significant differences between the study group and control group respectively (P< 0.01). The suicide rate of study group was 3.57%, greatly lower than that of control group (16.67%) (χ2=4.929, P< 0.05). Conclusion The health education based on the combination of TCM and western medicine plays an important role in intervening recurrence of depression and completing the rehabilitation of depression.更多还原