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目的：评估机器人辅助心理康复护理模式在加速改善抑郁障碍住院患者焦虑、抑郁和躯体症状方面的效果。方法：共有82名抑郁障碍住院患者被随机分配到接受机器人辅助干预的实验组和接受常规护理的对照组。采用7条目广泛性焦虑障碍量表（Generalized Anxiety Disorder-7,GAD-7）、患者健康问卷-9项（Patient Health Questionnaire 9,PHQ-9）和健康问卷躯体症状群量表（Patient Health Questionnaire-15,PHQ-15）量表评估干预前后的症状。采用t检验、协方差等方法评估两组在焦虑、抑郁和躯体症状量表得分及其干预后得分之间的差异。结果：实验组的GAD-7得分从11.50±4.62显著降低至8.10±5.23(t=5.21,P<0.01)，临床有效率63.33%。而对照组变化无统计学意义（P>0.05）。实验组的PHQ-9得分从15.80±6.98显著降低至12.20±6.86(t=3.99,P<0.01)，临床有效率43.33%。而对照组的评分变化不具有统计学意义（P>0.05）。实验组的PHQ-15得分从13.30±5.36显著降至10.90±5.30(t=2.90,P<0.01)，临床有效率36.66%，而对照组的得分变化无统计学意义（P>0.05）。结论：机器人辅助心理康复护理模式能有效改善抑郁障碍住院患者的焦虑、抑郁和躯体症状。
Abstract：Objective:To evaluate the effectiveness of robot-assisted psychological rehabilitation nursing models in accelerating the improvement of anxiety,depression,and somatic symptoms in hospitalized patients with depressive disorders.Methods:A total of 82 participants were randomly assigned to an experimental group receiving robot-assisted intervention and a control group receiving routine care.Symptoms were assessed using the 7-item Generalized Anxiety Disorder Scale(GAD-7),the 9-item Patient Health Questionnaire(PHQ-9),and the 15-item Patient Health Questionnaire Somatic Symptom Cluster Scale(PHQ-15)before and after the intervention.Differences in anxiety,depression,and somatic symptom scale scores between the two groups,as well as their post-intervention scores,were evaluated using t-tests and covariance analysis.Results:In the experimental group,the GAD-7 score significantly decreased from 11.50±4.62 to 8.10±5.23(t=5.21,P<0.01),with a clinical effectiveness rate of63.33%.In contrast,the control group showed no significant changes(from 14.50±5.32 to 13.30±6.72,t=1.36,P>0.05).The PHQ-9 score in the experimental group decreased from 15.80±6.98 to 12.20±6.86(t=3.99,P<0.01),with a clinical effectiveness rate of 43.33%,while the control group's score change was not significant(from 19.30±6.55 to 18.10±6.88,t=0.172,P>0.05).The PHQ-15 score in the experimental group decreased from 13.30±5.36 to 10.90±5.30(t=2.90,P<0.01),with a clinical effectiveness rate of 36.66%,whereas the control group's score increased insignificantly(from 14.20±5.49 to 14.80±5.99,t=1.36,P>0.05),with a clinical effectiveness rate of14.28%.Conclusion:The robot-assisted psychological rehabilitation nursing model can effectively improve anxiety,depression,and somatic symptoms in hospitalized patients.
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基本信息:
DOI：10.13342/j.cnki.cjhp.2025.11.001
中图分类号:R473.74
引用信息:
[1]雷雨燕,林基远,李晓晶,等.机器人辅助心理护理对抑郁障碍患者心身症状的改善效果[J].中国健康心理学杂志,2025,33(11):1601-1606.DOI:10.13342/j.cnki.cjhp.2025.11.001.
基金信息:
国家自然科学基金面上项目（编号：82471561）; 杭州市生物医药和健康产业发展扶持科技专项（编号：2022WJC161、2022WJC264）