孟令霞，徐晓飞

1.淄博市精神卫生中心女二病区，山东淄博255100；2.淄博市精神卫生中心张店心理门诊，山东淄博255000

延续性健康教育对抑郁症患者认知功能及功能失调性状况的影响

孟令霞，徐晓飞

1.淄博市精神卫生中心女二病区，山东淄博255100；2.淄博市精神卫生中心张店心理门诊，山东淄博255000

目的探讨延续性健康教育对抑郁症患者认知功能及功能失调性状况的影响。方法选择2014年1月—2015年12月收治的78例抑郁症患者为研究对象，根据入院时间分为观察组和对照组各39例，两组患者均给予舍曲林治疗，对照组实施精神科常规护理及出院指导，观察组在对照组的基础上联合应用延续性健康教育。干预时间均为8周，比较两组认知功能、功能失调性状况评分。结果出院8周时，MMSE及WCST等认知功能评分均明显高于对照组，脆弱性等功能失调性量表各条目评分均明显低于对照组（P＜0.05）。结论延续性健康教育有助于提高抑郁症患者认知功能，缓解功能失调性状况。

抑郁症；延续性健康教育；认知功能；功能失调性状况

［Abstract］Objective To study the effect of continuous health education on the cognitive function and dysfunctionality condition of patients with depression，Methods 78 cases of patients with depression admitted and treated in our hospital from January 2014 to December 2015 were selected as the research objects and divided into two groups with 39 cases according to the admission time，both groups were given the sertraline treatment，the control group adopted the routine nursing and discharged guidance in the department of psychiatry，the observation group adopted the continuous health education on the basis of the control group，and the intervention time was 8 weeks，and the cognitive function and dysfunctionality condition scores were compared between the two groups.Results The MMSE and WCST cognitive function scores were obviously higher than those in the control group at 8 weeks after discharge，and various item scores such as vulnerability in the dysfunctional attitudes scale were obviously lower than those in the control group（P＜0.05）.Conclusion The continuous health education contributes to improving the cognitive function of patients with depression and relieving the dysfunctionality condition.

［Key words］Depression；Continuous health education；Cognitive function；Dysfunctionality condition

抑郁症（depression）是临床常见的精神障碍性疾病，常反复发作，使患者出现持久的意志消沉、情绪低落，部分患者甚至出现明显的厌世及自杀倾向，严重影响患者及家庭的幸福和安定。研究证实，抑郁症患者存在不同程度的认知功能障碍［1］，虽然药物治疗可以减轻患者认知功能障碍，却不能消除其认知功能损害。延续性健康教育是将住院期间的健康教育延伸至患者出院后，让患者居家治疗康复中仍能得到专业的指导。……