Effect of the extended nursing services model on coping style and life quality of patients with depression
10.3760/cma.j.issn.1674-2907.2013.34.002
- VernacularTitle:护理延伸服务模式对抑郁症患者应对方式及生存质量的影响
- Author:
Ju-Fang JIANG
1
;
Zi-Juan ZHANG
;
Lan-Fen DING
;
Hai-Yan GE
;
Xia-Yan CAO
Author Information
1. 214151,南京医科大学附属无锡精神卫生中心精神科
- Keywords:
Depression;
Quality of life;
Extended nursing services;
Rehabilitation effect
- From:
Chinese Journal of Modern Nursing
2013;48(34):4192-4195
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of the extended nursing services model on coping style and life quality of patients with depression .Methods Sixty patients were admitted by the community street living into the group, the patients in Beitang district were assigned to the observation group (n=30), and the patients in Nanchang district were assigned to the control group ( n=30 ) .The patients received health education and rehabilitation during hospitalization , health guidance in the discharge , and were followed up for 12 months.The patients in the observation group were transferred to the research system on the integration of community -based rehabilitation , were given the extended nursing services , and were established the service extension file .The coping style and life quality of patients were assessed by the simplified coping style assessment scale ( SCSQ ) and WHO quality of life BREF ( WHOQOL-BREF ) , and the relapse rate was analyzed between two groups . Results No significant differences were found in the scores of SCSQ and the life quality before intervention (P>0.05).The scores of positive and negative response factors were respectively ( 1.79 ±0.37 ), (1.38 ±0.35) in the observation group 12 months after follow-up, and were respectively (1.25 ±0.42), (1.69 ±0.38) in the control group, and the differences were statistically significant ( t =3.53, 3.16, respectively;P <0.01).The scores of physical, psychological, social relations and environmental fields in WHOQOL-BREF scale were respectively (67.58 ±5.76), (75.57 ±5.32), (57.48 ±6.06), (62.26 ± 6.23) in the observation group12 months after follow-up, and were significantly higher than (64.52 ±7.51), (68.61 ±6.43), (53.59 ±6.12), (59.35 ±7.27) in the control group, and the differences were statistically significant (t=2.88, 3.67, 2.78, 2.36, respectively;P<0.01).The relapse rate was 10.7%(3 cases) in the observation group 12 months after follow-up, and was 43.3% (13 cases) in the control group, and the difference was statistically significant (χ2 =7.714, P<0.01).Conclusions The extended nursing services model is helpful to improve the patients ’ coping style , reduce the relapse rate and increase the quality of life .