园艺疗法联合运动护理干预在老年抑郁症患者中的护理效果及对激越行为的影响(1)
【摘要】 目的：探讨园艺疗法联合运动护理干预在老年抑郁症患者中的护理效果及对激越行为的影响。方法：选择2018年5月-2019年5月收治的老年抑郁症患者126例，通过随机数字法分为对照组和观察组，各63例。对照组采用运动护理干预，观察组采用园艺疗法结合运动护理干预，比较两组护理前后激越行为评分、抑郁和社交能力评分及护理后生活质量评分。结果：护理前两组GDS、SAFE、SSC、CMAI评分比较，差异均无统计学意义(P>0.05);护理后观察组GDS、SAFE、SSC、CMAI评分均显著低于对照组，差异均有统计学意义(P<0.05);观察组护理后生活质量评分高于对照组，差异有统计学意义(P<0.05)。结论：园艺疗法联合运动护理干预能降低老年抑郁症患者的抑郁情绪和激越行为，提高社交技能、社会适应能力和多方面生活质量。
【关键词】 园艺疗法 运动护理 老年抑郁症 激越行为 老年抑郁量表 生活质量量表
[Abstract] Objective： To investigate the nursing effect of horticultural therapy combined with sports nursing intervention in elderly patients with depression and its effect on aggression. Method： A total of 126 elderly patients with depression admitted from May 2018 to May 2019 were selected and divided into the control group and the observation group by random digital method， with 63 cases in each group. The control group was treated with sports nursing intervention and the observation group was treated with horticultural therapy combined with sports nursing intervention. The scores of aggressive behavior， depression and social ability before and after nursing and quality of life scores after nursing of the two groups were compared. Result： Before nursing， the GDS， SAFE， SSC， CMAI scores of the two groups were compared， and the differences were not statistically significant (P>0.05). After nursing， the GDS， SAFE， SSC， CMAI scores in the observation group were significantly lower than those of the control group， and the differences were statistically significant (P<0.05). After nursing， the quality of life scores in the observation group were significantly higher than those of the control group， and the differences were statistically significant (P<0.05). Conclusion： Horticultural therapy combined with sports nursing intervention can reduce depression and aggressive behavior in elderly patients with depression， improve social skills， social adaptability and quality of life in many aspects.
抑郁症属于心境障碍疾病，患者可表现为持续性情绪低落、悲观厌世、自卑消极等，严重者存在自杀企图，部分患者经积极治疗后病情好转，但仍会出现反复发作情况[1]。老年抑郁症是指首次发病时处于老年期，发病机制较复杂，受遗传、脑组织病变、社会心理因素等影响。在临床治疗中以药物治疗为主，同时需配合护理干预，可有效缓解患者负面情绪，保持良好心态。运动护理是常用的干预模式，能够有效改善患者的抑郁情绪。园艺疗法是通过园艺活动以提高患者的专注力、价值感、满足感，并促进患者间的交流沟通，从而达到改善负面情绪的作用[2]。因此，本研究旨在探讨园艺疗法联合运动护理干预在老年抑郁症患者中的护理效果及对激越行为的影响。
1 资料与方法
1.1 一般资料
选取2018年5月-2019年5月笔者所在医院治疗的126例老年抑郁症患者。纳入标准：(1)年龄≥60岁;(2)意识、表达能力清晰，认知功能正常。排除标准：(1)合并其他传染性疾病、神经系统疾病、认知功能异常、肢体障碍等;(2)有伤人、自残、自杀等行为表现;(3)对运动护理、园艺疗法具有排斥心理;(4)重度焦虑，无法进行护理干预及量表检测。采用随机数字法分为对照组和观察组。对照组63例，男28例，女35例;年龄60～82岁，平均(68.57±2.73)岁;病程3个月～7年，平均(3.57±1.64)年。观察组63例，男27例，女36例;年齡60～83岁，平均(67.92±2.58)岁;病程6个月～8年，平均(3.67±1.41)年。两组一般资料比较，差异均无统计学意义(P>0.05)。研究已获伦理委员会批准，患者及家属均自愿参与且签署知情同意书。, 百拇医药(王珍兰 江定武)
【关键词】 园艺疗法 运动护理 老年抑郁症 激越行为 老年抑郁量表 生活质量量表
[Abstract] Objective： To investigate the nursing effect of horticultural therapy combined with sports nursing intervention in elderly patients with depression and its effect on aggression. Method： A total of 126 elderly patients with depression admitted from May 2018 to May 2019 were selected and divided into the control group and the observation group by random digital method， with 63 cases in each group. The control group was treated with sports nursing intervention and the observation group was treated with horticultural therapy combined with sports nursing intervention. The scores of aggressive behavior， depression and social ability before and after nursing and quality of life scores after nursing of the two groups were compared. Result： Before nursing， the GDS， SAFE， SSC， CMAI scores of the two groups were compared， and the differences were not statistically significant (P>0.05). After nursing， the GDS， SAFE， SSC， CMAI scores in the observation group were significantly lower than those of the control group， and the differences were statistically significant (P<0.05). After nursing， the quality of life scores in the observation group were significantly higher than those of the control group， and the differences were statistically significant (P<0.05). Conclusion： Horticultural therapy combined with sports nursing intervention can reduce depression and aggressive behavior in elderly patients with depression， improve social skills， social adaptability and quality of life in many aspects.
抑郁症属于心境障碍疾病，患者可表现为持续性情绪低落、悲观厌世、自卑消极等，严重者存在自杀企图，部分患者经积极治疗后病情好转，但仍会出现反复发作情况[1]。老年抑郁症是指首次发病时处于老年期，发病机制较复杂，受遗传、脑组织病变、社会心理因素等影响。在临床治疗中以药物治疗为主，同时需配合护理干预，可有效缓解患者负面情绪，保持良好心态。运动护理是常用的干预模式，能够有效改善患者的抑郁情绪。园艺疗法是通过园艺活动以提高患者的专注力、价值感、满足感，并促进患者间的交流沟通，从而达到改善负面情绪的作用[2]。因此，本研究旨在探讨园艺疗法联合运动护理干预在老年抑郁症患者中的护理效果及对激越行为的影响。
1 资料与方法
1.1 一般资料
选取2018年5月-2019年5月笔者所在医院治疗的126例老年抑郁症患者。纳入标准：(1)年龄≥60岁;(2)意识、表达能力清晰，认知功能正常。排除标准：(1)合并其他传染性疾病、神经系统疾病、认知功能异常、肢体障碍等;(2)有伤人、自残、自杀等行为表现;(3)对运动护理、园艺疗法具有排斥心理;(4)重度焦虑，无法进行护理干预及量表检测。采用随机数字法分为对照组和观察组。对照组63例，男28例，女35例;年龄60～82岁，平均(68.57±2.73)岁;病程3个月～7年，平均(3.57±1.64)年。观察组63例，男27例，女36例;年齡60～83岁，平均(67.92±2.58)岁;病程6个月～8年，平均(3.67±1.41)年。两组一般资料比较，差异均无统计学意义(P>0.05)。研究已获伦理委员会批准，患者及家属均自愿参与且签署知情同意书。, 百拇医药(王珍兰 江定武)
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