首页> 中文期刊> 《护理实践与研究》 >基于积极心理学理论的阳性强化行为护理对抑郁症患者应对方式及生活质量的影响

基于积极心理学理论的阳性强化行为护理对抑郁症患者应对方式及生活质量的影响

         

摘要

目的:探讨基于积极心理学理论的阳性强化行为护理对抑郁症患者应对方式及生活质量的影响.方法:选择我院2015年6月~2016年11月收治的抑郁症患者81例,随机将其分为对照组40例与观察组41例,对照组实施常规护理;观察组实施基于积极心理学理论的阳性强化行为护理,比较两组患者的心理状态、应对方式及生活质量.结果:干预后两组患者汉密尔顿抑郁量表(HAMD)评分均有所下降(P<0.05),观察组干预后HAMD评分明显低于对照组(P<0.05);两组患者干预前面对得分较低,屈服、回避得分较高,干预后两组面对得分均较干预前有所上升,屈服、回避得分有所下降(P<0.05),且两组比较差异具有统计学意义(P<0.05);观察组SF-36量表各维度评分均高于对照组(P<0.05).结论:基于积极心理学理论的阳性强化行为护理可明显改善抑郁症患者的心理状态,对促进其选择积极应对方式和提高生活质量有重要意义.%Objective:To explore the effect of positive reinforcement behavioral nursing on coping style and quality of life in patients with depression based on positive psychological theory.Methods:A total of 81 patients with depression who were treated in our hospital from June 2015 to November 2016 were se-lected and randomly divided into control group of 40 cases and observation group of 41 cases.The control group was treated with routine nursing,while the observation group was treated with positive reinforcement behavior nursing based on positive psychology theory.The psychological state, coping style and quality of life of the two groups were compared.Results:The scores of Hamilton depression scale(HAMD)decreased in the two groups after the interven-tion(P<0.05).The score of HAMD in the observation group was significantly lower than that of the control group after the intervention(P<0.05).The scores of copying style in the two groups before the intervention were low, while the scores of yield and avoidance were high.After the intervention, the scores of coping style in the two groups increased than that before,and the scores of yield and avoidance decreased(P<0.05).The scores of the two groups were statistically significant(P<0.05).The scores of SF-36 in the observation group were higher than that of the control groups in every dimensions(P<0.05).Conclusion:Positive reinforcement behavior nursing based on the positive psychological theory can significantly improve the mental state of patients with depression, which is of great significance to promote the choice of positive coping style and improve the quality of life for the patients.

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