Skärsäter Ingela, Langius Ann, Agren Hans, Häggström Lars, Dencker Karina
The Sahlgrenska Academy at Göteborg University, Faculty of Health and Caring Sciences, Institute of Nursing, Göteborg, Sweden.
Int J Ment Health Nurs. 2005 Dec;14(4):258-64. doi: 10.1111/j.1440-0979.2005.00390.x.
Major depression is a common illness, with a lifetime prevalence rate of 10-13% for men and 21-24% for women. The experience of having a serious illness such as major depression affects the individual's quality of life and requires significant adaptation in order to cope. The aim of this study was to explore sense of coherence and social support in patients treated for a first episode of major depression in a 1-year follow up. The study design was prospective and longitudinal. A total of 24 patients, aged 18 years or over, with a first episode of major depression were included. Semi-structured interviews and self-assessment questionnaires were used at baseline as well as in a 1-year follow up in order to measure the level of severity of the depression, social support, and sense of coherence. The result showed that 71% of the patients had recovered at follow up. The sense of coherence scores were low at baseline, although the patients who recovered increased their sense of coherence scores significantly. Another factor of importance for recovery was a significant increase in social support. Social support is an important cornerstone in the restoration of a person's sense of coherence. It can be used in interventions that include the patient's family or close social network in combination with support to assist the patient to view his/her situation as comprehensible, manageable, and meaningful, thereby promoting or improving health. Mental health nurses are in a key position to identify patients' strengths and weaknesses so that the support and interventions provided can be tailored to meet the needs of each patient.
重度抑郁症是一种常见疾病，男性终生患病率为10%-13%，女性为21%-24%。患重度抑郁症等严重疾病的经历会影响个人生活质量，需要做出重大调整以应对。本研究的目的是在为期1年的随访中，探讨首次发作的重度抑郁症患者的连贯感和社会支持情况。研究设计为前瞻性纵向研究。共纳入24例年龄在18岁及以上的首次发作重度抑郁症患者。在基线以及1年随访时使用半结构化访谈和自我评估问卷，以测量抑郁严重程度、社会支持和连贯感水平。结果显示，71%的患者在随访时康复。连贯感得分在基线时较低，不过康复的患者其连贯感得分显著提高。康复的另一个重要因素是社会支持显著增加。社会支持是恢复个人连贯感的重要基石。它可用于包括患者家庭或紧密社会网络的干预措施中，并结合支持来帮助患者将自己的情况视为可理解、可管理且有意义的，从而促进或改善健康。心理健康护士处于关键位置，能够识别患者的优势和劣势，以便提供的支持和干预措施能够根据每个患者的需求进行调整。
