中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
33期
3969-3972
,共4页
涂国红%李艳敏%高莉%鲁晓春
塗國紅%李豔敏%高莉%魯曉春
도국홍%리염민%고리%로효춘
焦虑%抑郁%老年%急性冠脉综合征%护理需求
焦慮%抑鬱%老年%急性冠脈綜閤徵%護理需求
초필%억욱%노년%급성관맥종합정%호리수구
Anxiety%Depression%Senium%Acute coronary syndrome%Nursing requirement
目的 探讨老年急性冠脉综合征(ACS)患者伴发焦虑抑郁状况的影响因素及护理需求情况.方法 选取256例老年ACS患者为研究对象,采用Zung焦虑自评量表(SAS)、Zung抑郁自评量表(SDS)和观察表对其进行测评,了解患者的焦虑、抑郁发生情况,分析焦虑抑郁发生的影响因素及护理需求情况.结果 256例老年ACS患者存在焦虑症状占47.26％,抑郁症状占18.36％,同时合并焦虑抑郁症状占12.89％,焦虑抑郁总发生率为78.51％.Logistic回归分析结果显示,伴发焦虑抑郁状况主要与疾病相关知识、行为方式、医院环境、社会支持系统等因素有密切关系(β=-1.354,-2.045,-1.012;P＜0.05)；焦虑抑郁患者的疑病观念、不适主诉增多、注意力不集中、食欲减退、情绪低落、睡眠障碍等均高于无焦虑抑郁症状患者(P＜0.05)；有焦虑抑郁症状患者的各种护理需求中,需要吸氧(118例)、需要扣背(90例)、需要按摩(99例)、需要心理健康干预(112例)较无症状者(24,15,14,18例)明显增多,差异具有统计学意义(x2 =16.18,11.49,10.18,10.84;P ＜0.05).结论 对于老年ACS伴发焦虑抑郁患者应加强心理护理,有针对性的进行个体健康教育,对有效减少或防止老年ACS焦虑和抑郁的发生,促进疾病的好转、改善愈后和提高患者的生活质量具有重要意义.
目的 探討老年急性冠脈綜閤徵(ACS)患者伴髮焦慮抑鬱狀況的影響因素及護理需求情況.方法 選取256例老年ACS患者為研究對象,採用Zung焦慮自評量錶(SAS)、Zung抑鬱自評量錶(SDS)和觀察錶對其進行測評,瞭解患者的焦慮、抑鬱髮生情況,分析焦慮抑鬱髮生的影響因素及護理需求情況.結果 256例老年ACS患者存在焦慮癥狀佔47.26％,抑鬱癥狀佔18.36％,同時閤併焦慮抑鬱癥狀佔12.89％,焦慮抑鬱總髮生率為78.51％.Logistic迴歸分析結果顯示,伴髮焦慮抑鬱狀況主要與疾病相關知識、行為方式、醫院環境、社會支持繫統等因素有密切關繫(β=-1.354,-2.045,-1.012;P＜0.05)；焦慮抑鬱患者的疑病觀唸、不適主訴增多、註意力不集中、食欲減退、情緒低落、睡眠障礙等均高于無焦慮抑鬱癥狀患者(P＜0.05)；有焦慮抑鬱癥狀患者的各種護理需求中,需要吸氧(118例)、需要釦揹(90例)、需要按摩(99例)、需要心理健康榦預(112例)較無癥狀者(24,15,14,18例)明顯增多,差異具有統計學意義(x2 =16.18,11.49,10.18,10.84;P ＜0.05).結論 對于老年ACS伴髮焦慮抑鬱患者應加彊心理護理,有針對性的進行箇體健康教育,對有效減少或防止老年ACS焦慮和抑鬱的髮生,促進疾病的好轉、改善愈後和提高患者的生活質量具有重要意義.
목적 탐토노년급성관맥종합정(ACS)환자반발초필억욱상황적영향인소급호리수구정황.방법 선취256례노년ACS환자위연구대상,채용Zung초필자평량표(SAS)、Zung억욱자평량표(SDS)화관찰표대기진행측평,료해환자적초필、억욱발생정황,분석초필억욱발생적영향인소급호리수구정황.결과 256례노년ACS환자존재초필증상점47.26％,억욱증상점18.36％,동시합병초필억욱증상점12.89％,초필억욱총발생솔위78.51％.Logistic회귀분석결과현시,반발초필억욱상황주요여질병상관지식、행위방식、의원배경、사회지지계통등인소유밀절관계(β=-1.354,-2.045,-1.012;P＜0.05)；초필억욱환자적의병관념、불괄주소증다、주의력불집중、식욕감퇴、정서저락、수면장애등균고우무초필억욱증상환자(P＜0.05)；유초필억욱증상환자적각충호리수구중,수요흡양(118례)、수요구배(90례)、수요안마(99례)、수요심리건강간예(112례)교무증상자(24,15,14,18례)명현증다,차이구유통계학의의(x2 =16.18,11.49,10.18,10.84;P ＜0.05).결론 대우노년ACS반발초필억욱환자응가강심리호리,유침대성적진행개체건강교육,대유효감소혹방지노년ACS초필화억욱적발생,촉진질병적호전、개선유후화제고환자적생활질량구유중요의의.
Objective To study the influencing tactors of senile acute coronary syndrome ( ACS) patients with anxiety and depression and related nursing requiements.Methods Totals of 256 senile ACS patients were investigated with Zung self-rating anxious scale (SAS),Zung self-rating depressive scale (SDS) and self-designed observation scale to understand the incidence of anxiety and depression.Related influencing factors,nursing requirements were analysed.Results Different degrees of anxiety and depression were found in all the patients.121 cases (47.26％) presented with anxious symptoms,47 cases( 18.36％ ) presented with depressiive symptoms,and 33 cases ( 12.89％ ) presented with both anxious and depressive symptoms.The incidence of anxiety and depression were 78.51％.Logistic regression analysis showed factors such as knowledge related disease,behaviors,hospital environment,and social supporting systems were closely related to the incidence of anxiety and depression ( P ＜ 0.05 ).Patients with anxiety or (and) depression had more problems such as hypochondriacal idea,discomfort complaint,inattention and so on compared with that no symptom patients( P ＜ 0.05 ).Patients with anxiety or(and) depression needed more nursing requirements such as the time of oxygen,back paddling,massage and psychological intervention than patients without those mental symptoms( P ＜ 0.05 ).Conclusions It is important to strengthen psychological nursing and targeted health education in order to reduce the incidence of anxiety and depression among senile ACS patients,improve their disease and life quality.
