社会支持网络理论下医务社工介入抑郁症患者康复的研究
中文摘要
抑郁症是一种严重影响人类健康的精神心理疾病，抑郁症状或症候群包括消极的思想，悲观的情绪，自伤或者自杀的观念和行为，抑郁症患者近几十年来日益受到关注。医务社会工作者在T市S医院精神卫生科工作过程中发现抑郁症患者所占比例较大，其中不乏多次入院的老病号，在探寻了抑郁症患者反复入院的原因后本文将研究对象确定为综合医院精神卫生科的抑郁症患者。医务社工将社会支持网络理论作为研究的基础理论，借助小组工作方法设计自助群体活动“医路上有你”的医患交班会，将服务对象纳入到自助群体活动中，同时运用个人网络工作及组织网络联系工作中个案管理的手法为抑郁症患者的康复提供服务，通过协调、连接、引导等方法帮助抑郁症患者建立起住院期间的非正式支持网络，帮助其家庭重新建构起新的互动模式，使其在回归社区后寻找资源及支持的能力得到提升。干预后实验组与对照组的患者相比，实验组抑郁症患者的抑郁情绪在入院第二周得到了明显改善，与病友间建立了比较紧密的联系，可以自发组织娱乐活动，其安全感及自我效能感量表得分得到明显提升。研究得出结论，“综合”的社会工作服务方式能够更快速地帮助抑郁症患者在住院期间建立起病友间互助支持网络，改善其焦虑、抑郁情绪，在同样的住院时间内能够更大程度地提升其生活信心与人际交往能力，增强其社会参与的动力与能力，促进其进一步康复。
关键词：医务社工；社会支持；网络；抑郁症；患者
The study of medical social workers'intervention in the rehabilitation of depressive patients under the social support
network theory
Abstract
Depression is a mental illness that severely affects human health.Depressive symptoms or syndromes include negative thoughts,pessimistic emotions,self-injury or suicidal thoughts and behaviors.People with depression have become increasingly concerned in recent decades.Medical social workers have been exposed to many patients during the work of mental health department at the S hospital in T city.In the process of intervention,it was found that the proportion of patients with depression was large,and there were many old patients who were admitted to the hospital.After exploring the reasons for the repeated admission of depressed patients,this paper identified the suActs as depression patients in the general hospital mental health department.
Medical social workers use social support network theory as the basic theory of research,using the group work method to design the self-help group activities,"there are you on the medical road",incorporating service oActs into self-help group activities.At the same time,personal network work and case management techniques in the organization of network connectionare used to provide services for the rehabilitation of depressed patients.At the same time,the individual network work and the case management of the organization network work are used for depression.The rehabilitation services of the patients are provided by means of coordination,connection and guidance to help the depressive patients establish the informal support network during hospitalization,help their families rebuild a new interactive model,and improve their ability to search for resources and support after the return of the community.
Compared with those in the control group,the depressive mood in the experimental group was significantly improved in the second weeks of hospitalization,and a close