抑郁症康复技能训练程式在基层医院推广应用的价值研究

背景　抑郁症的康复技能训练是一种很好的辅助治疗方法，本课题通过引进成熟的抑郁症康复技术，使基层医务人员熟练掌握，为辖区内广大抑郁症患者开展康复训练，以期提高抑郁症患者的疗效，降低自杀风险。目的　探讨抑郁症康复技能训练程式在基层医院推广应用的价值。方法　选取门头沟区龙泉医院2018年1-9月门诊就诊的65例抑郁症患者为研究对象。入选患者全部接受康复训练，分别于训练前和训练结束3个月后采用汉密尔顿抑郁量表（HAMD）、社会功能缺陷筛选量表（SDSS）、服药依从性、自杀风险评估量表（nurses' global assessment of suicide risk，NGASR）和自杀风险问卷对患者进行评估。结果　共61例患者完成研究，与训练前比较，训练结束3个月后患者HAMD、SDSS评分明显降低，服药依从性除自行停药外均明显提高，自杀风险明显降低，差异有统计学意义（P<0.05）。结论　抑郁症康复训练程式能有效提高患者服药依从性，改善抑郁症状，减少自杀观念，在基层医院有推广价值。

The Application Value of Depression Structured Rehabilitation Skills Training Program in Primary Hospitals

Background　The rehabilitation training is a good assisted therapy for depression. This paper attempts to introduce the mature depression rehabilitation technology，teach primary medical staff how to use this technology skillfully and involve all patients with depression within the jurisdiction in the rehabilitation training in order to improve the treatment outcome of patients with depression and reduce the risk of suicide. Objective　To investigate the application value of depression rehabilitation training program in primary hospitals. Methods　A total of 65 patients with depression who attended in the outpatient clinic service of Longquan Hospital of Mentougou District were selected from January to September in 2018. They were involved in the rehabilitation training and assessed by Hamilton Depression Scale（HAMD），Social Disability?Screening Schedule（SDSS），medication compliance，Nurses' Global Assessment of Suicide Risk（NGASR）and suicide risk questionnaire before the training and after three-month training. Results　A total of 61 cases completed the study. Patients' scores of HAMD and SDSS after three-month training were significantly lower than that before the training；the medication compliance was significantly improved except for stopping the medicine and the suicidal ideation significantly decreased（P<0.05）. Conclusion　Depression structured rehabilitation training program can effectively enhance the medication compliance of patients with depression，improve their depression symptoms and reduce their suicidal ideation，which is worthy of being promoted in primary hospitals.