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预防医学  2025, Vol. 37 Issue (10): 1049-1053    DOI: 10.19485/j.cnki.issn2096-5087.2025.10.015
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
抑郁症患者出院后“互联网+”延续干预效果评价
陈春棉1, 金婷婷1, 高思1, 陈浩然1, 卢晓远2, 郑丽丹1
1.温州市第七人民医院,浙江 温州 325000;
2.温州市卫生事业发展中心,浙江 温州 325000
Effectiveness of "Internet plus" continuous intervention among patients with depression after hospital discharge
CHEN Chunmian1, JIN Tingting1, GAO Si1, CHEN Haoran1, LU Xiaoyuan2, ZHENG Lidan1
1. Wenzhou Seventh People's Hospital, Wenzhou, Zhejiang 325000, China;
2. Wenzhou Health Development Center, Wenzhou, Zhejiang 325000, China
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摘要 目的 评价“互联网+”延续干预对出院后抑郁症患者心理状况、护理满意度的影响,为降低抑郁症患者复发风险,提高生活质量提供参考。方法 选择2024年1—12月在温州市某三级甲等精神卫生专科医院住院治疗并符合出院标准的轻中度抑郁症患者为研究对象,采用随机数表法按1∶1比例分为对照组和干预组,对照组患者实施常规延续干预,干预组实施“互联网+”延续干预,随访12周。干预前后分别采用汉密尔顿抑郁量表、汉密尔顿焦虑量表和护理满意度调查问卷评估抑郁症状、焦虑症状和护理满意度。采用协方差分析比较两组干预前后差异。结果 纳入62例轻中度抑郁症患者,干预组和对照组各31例。干预前,两组患者的性别、年龄、病程、文化程度、婚姻状况、抑郁症状得分、焦虑症状得分和护理满意度得分差异无统计学意义(均P>0.05)。干预后,干预组患者的抑郁症状得分、焦虑症状得分较干预前分别平均下降8.87和5.01分,对照组较干预前分别平均下降2.52和1.16分(均P<0.05);干预组患者干预前后抑郁症状得分、焦虑症状得分下降幅度大于对照组(均P<0.05)。干预组患者的护理满意度得分较干预前平均上升6.57分,对照组较干预前平均上升4.23分(均P<0.05);两组患者干预前后护理满意度得分上升幅度差异无统计学意义(P>0.05)。结论 出院后“互联网+”延续干预改善抑郁症患者的抑郁症状和焦虑症状的效果较好,可巩固治疗效果,提高护理满意度。
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陈春棉
金婷婷
高思
陈浩然
卢晓远
郑丽丹
关键词 互联网+抑郁症抑郁症状焦虑症状护理满意度    
AbstractObjective To evaluate the effectiveness of "Internet plus" continuous intervention on psychological status and nursing satisfaction of patients with depression after hospital discharge, so as to provide the reference for reducing the recurrence risk of patients with depression and improving the quality of life. Methods From January to December 2024, patients with mild to moderate depression who were hospitalized in a tertiary grade-a mental health specialized hospital in Wenzhou City and met the discharge criteria were selected as the research objects. The patients were divided into the control group and the intervention group according to a ratio of 1∶1 by the random number table method. Hamilton Depression Scale, Hamilton Anxiety Scale, and Nursing Satisfaction Questionnaire were used to evaluate depressive symptoms, anxiety symptoms, and nursing satisfaction before and after intervention. Covariance analysis was used to compare the differences between the two groups before and after the intervention. Results A total of 62 patients with mild to moderate depression were enrolled, with 31 patients in the intervention group and 31 patients in the control group. Before the intervention, there were no statistically significant differences in gender, age, course of disease, educational level, marital status, depression symptoms score, anxiety symptoms score, and nursing satisfaction score between the two groups (all P>0.05). After the intervention, the scores of depression and anxiety symptoms in the intervention group decreased by 8.87 and 5.01 points, respectively, compared with those before the intervention, and the scores of depression and anxiety symptoms in the control group decreased by 2.52 and 1.16 points, respectively (all P<0.05). After the intervention, the scores of depression and anxiety symptoms in the intervention group decreased more than those in the control group (both P<0.05). The nursing satisfaction score of the intervention group increased by 6.57 points on average compared with that before the intervention, and that of the control group increased by 4.23 points on average (both P<0.05). There was no statistically significant difference in the increase of nursing satisfaction scores between the two groups before and after intervention (P>0.05). Conclusion The "Internet plus" continuous intervention has a good effect on improving the depressive symptoms and anxiety symptoms of patients with depression after haspital discharge, which can consolidate the treatment effect and improve nursing satisfaction.
Key wordsInternet plus    depression    depression symptoms    anxiety symptoms    nursing satisfaction
收稿日期: 2025-06-26      修回日期: 2025-08-31     
中图分类号:  R749.4  
基金资助:温州市科技局基础性公益科研项目(Y2023735)
作者简介: 陈春棉,本科,主任护师,主要从事护理管理工作
通信作者: 郑丽丹,E-mail:540413881@qq.com   
引用本文:   
陈春棉, 金婷婷, 高思, 陈浩然, 卢晓远, 郑丽丹. 抑郁症患者出院后“互联网+”延续干预效果评价[J]. 预防医学, 2025, 37(10): 1049-1053.
CHEN Chunmian, JIN Tingting, GAO Si, CHEN Haoran, LU Xiaoyuan, ZHENG Lidan. Effectiveness of "Internet plus" continuous intervention among patients with depression after hospital discharge. Preventive Medicine, 2025, 37(10): 1049-1053.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2025.10.015      或      http://www.zjyfyxzz.com/CN/Y2025/V37/I10/1049
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