目的探讨园艺治疗对住院抑郁症患者康复效果的影响。
方法选取2017年1-12月收治的80例抑郁症患者为研究对象，按随机数字表法分为干预组和对照组，每组40例。2组患者均口服常规抗抑郁药物治疗、实施精神科常规护理及常规康复训练，干预组在此基础上增加园艺治疗4周。于治疗前和治疗后4周末采用汉密尔顿抑郁量表（HAMD）和住院精神病患者康复疗效评定量表（IPROS）比较2组患者治疗前后临床症状及康复效果。
结果2组患者HAMD评分治疗前比较差异无统计学意义（ P>0.05），4周后2组患者评分均较治疗前下降，但干预组评分为（12.11 ± 2.76）分，明显低于对照组的（15.54 ± 2.86）分，差异有统计学意义（ t=5.458， P<0.01）。2组患者IPROS评分治疗前比较差异无统计学意义（ P>0.05），4周后干预组总分为（23.92 ± 3.63）分，明显低于对照组的（34.85 ± 4.17）分，差异有统计学意义（ t=4.168， P<0.01）。
结论园艺治疗能有效辅助缓解抑郁症患者的临床症状，促进康复，改善社会功能。
ObjectiveTo explore the effect of horticultural therapy on the rehabilitation of patients with depression in hospital.
MethodsA total of 80 cases with depression who met the inclusion criteria were selected from the Third People′s Hospital of Huzhou City from January 2017 to December 2017. We used random-number methods to classify patients into either the intervention group or the control group with 40 cases in each group. While the two groups both received conventional antidepressant drugs, and psychiatric care routine and conventional rehabilitation training. Patients in the intervention group also attended horticultural therapy, the treatment period lasted for 4 weeks. The two groups were measured by HAMD and IPROS to compare the clinical symptoms and rehabilitation effects, the before of the 4th week and the end of the 4th week after treatment.
ResultsThere was no statistically significant difference in HAMD score before the intervention among two groups ( P >0.05). The HAMD score in the two group were both lower at the end of the 4th week. However, there was statistically significant difference in HAMD score among the two groups ( t=5.458, P <0.01), the score of the intervention group was 12.11±2.76, which was significantly lower than that of the control group 15.54 ±2.86. There was no statistically significant difference in IPROS score between the two groups before treatment ( P >0.05). After 4 weeks, there was statistically significant difference in IPROS score of intervention group and control group ( t=4.168, P <0.01), the intervention group was 23.92±3.63, which was significantly lower than that of control group 34.85±4.17.
ConclusionsHorticultural therapy can effectively alleviate the clinical symptoms of patients with depression, promote rehabilitation, and improve social functions.
崔新琴,徐伟琴,吕小英. 园艺治疗对住院抑郁症患者康复效果的影响[J]. 中国实用护理杂志,2019,35(13)：1011-1014.
DOI:10.3760/cma.j.issn.1672-7088.2019.13.012版权归中华医学会所有。
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