徐东娥 祝红燕 马芸

[摘要] 目的 观察CICARE模式改善抑郁症患者抑郁症状的效果。 方法 选择2019年1—9月浙江省立同德医院心身科抑郁症患者60例，按随机数字表法分为对照组和观察组各30例。对照组进行常规护理，观察组在常规护理基础上运用CICARE沟通模式进行4周的干预。分别于干预前及干预后4周采用HAMD和SFRS评分评定患者的抑郁情绪和社会功能。 结果 两组间干预前HAMD和SFRS量表评分比较，差异无统计学意义（P>0.05）。干预后4周，观察组和对照组HAMD评分[（6.53±1.06）分vs.（15.33±4.42）分]和SFRS评分[（13.73±3.13）分vs.（30.30±6.23）分]比较，差异有统计学意义（t=-10.604，P<0.05;t=13.017，P<0.05）。 结论 CICARE模式能有效改善提高抑郁症患者的抑郁情绪，提高社会功能，从而使患者的抑郁症状明显改善，社会功能保持完好。

[关键词] 抑郁症;CICARE模式;抑郁症状;护理

[中图分类号] R473.74          [文献标识码] B          [文章编号] 1673-9701（2021）33-0168-04

[Abstract] Objective To observe the effect of CICARE model on improving depressive symptoms in patients with depression. Methods A total of 60 patients with depression in the Department of Psychosomatics in Litongde Hospital of Zhejiang Province from January to September 2019 were selected and divided into the control group and the observation group according to the random number table， with 30 cases in each group. The control group followed conventional nursing， and the observation group used CICARE communication mode for four weeks of intervention on the basis of conventional nursing. HAMD and SFRS score were used to assess the patients′ depressive mood and social function before the intervention and four weeks after the intervention. Results There was no significant difference in the scores of HAMD and SFRS before intervention between the two groups（P>0.05）. At the end of the four weeks of intervention， there were significant differences in the HAMD scores [（6.53±1.06）points vs. （15.33±4.42）points] and SFRS score [（13.73±3.13）points vs. （30.30±6.23）points] between the observation group and control group （t=-10.604，P<0.05;t=13.017，P<0.05）. Conclusion The CICARE model can effectively improve the depression and social function of patients with depression， so that the patients' depressive symptoms can be significantly improved and the social function can remain intact.

[Key words] Depression; CICARE model; Depressive symptoms; Nursing

抑郁癥是一种严重影响人类身心健康的疾病，它具有高复发率、高自杀率的特点，有研究预测[1]到2030年抑郁症的疾病负担将位列首位。目前抑郁症治疗以药物为主，研究表明[2]，有相当数量的患者药物治疗效果并不理想，因此非药物治疗手段受到越来越多的关注。CICARE沟通模式具有操作规范性、内容有序性、知识跨学科性、交流双向性等特点，在沟通理念和沟通方式等方面有明显的先进性与优越性。在实践临床工作中，许多护士都过多地关注于护理操作，而忽略了沟通的重要性[3]。特别是护理工作人员，每天与患者的接触最多，如果处理不好与患者之间的关系，可能会造成无法预估的后果[4]。所以寻求一种新的沟通模式来提升护理质量，最大程度的为患者服务。本研究对我院心身科收住院的60例抑郁症患者分别实施CICARE沟通模式和常规护理模式，收到较好效果，现报道如下。