中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
18期
2175-2177
,共3页
梅毒性动脉炎%卒中%焦虑%抑郁%心理护理
梅毒性動脈炎%卒中%焦慮%抑鬱%心理護理
매독성동맥염%졸중%초필%억욱%심리호리
Syphilitic arteritis%Stroke%Anxiety%Depression%Psychological nursing
目的 探讨梅毒性动脉炎所致脑卒中患者的焦虑、抑郁状况及其影响因素,并初步评价心理护理干预的效果.方法 应用综合医院焦虑/抑郁量表(HADS)对26例梅毒性动脉炎(观察组)及26例动脉粥样硬化(对照组)所致脑卒中患者进行调查,并了解其影响因素.对被确定为焦虑/抑郁阳性患者给予心理护理干预,干预后再次行HADS评分并进行对比分析.结果 观察组患者焦虑评分明显高于对照组[(9.50±4.88)比(7.11±3.20)分];抑郁评分高于对照组[(9.76±3.91)比(7.34±4.57)分],差异均有统计学意义(t分别为2.081,2.054;P<0.05),其产生焦虑、抑郁的影响因素更为复杂且具有相当的特殊性.经心理护理干预后,各组中焦虑/抑郁阳性患者的焦虑/抑郁评分较前均有明显下降,差异均有统计学意义(t分别为9.122,7.289,5.050,10.420;P<0.05).结论 梅毒性动脉炎所致脑卒中患者存在较严重的焦虑、抑郁状况,其影响因素复杂而特殊,实施心理护理干预可有效缓解患者的焦虑、抑郁情绪,帮助患者康复.
目的 探討梅毒性動脈炎所緻腦卒中患者的焦慮、抑鬱狀況及其影響因素,併初步評價心理護理榦預的效果.方法 應用綜閤醫院焦慮/抑鬱量錶(HADS)對26例梅毒性動脈炎(觀察組)及26例動脈粥樣硬化(對照組)所緻腦卒中患者進行調查,併瞭解其影響因素.對被確定為焦慮/抑鬱暘性患者給予心理護理榦預,榦預後再次行HADS評分併進行對比分析.結果 觀察組患者焦慮評分明顯高于對照組[(9.50±4.88)比(7.11±3.20)分];抑鬱評分高于對照組[(9.76±3.91)比(7.34±4.57)分],差異均有統計學意義(t分彆為2.081,2.054;P<0.05),其產生焦慮、抑鬱的影響因素更為複雜且具有相噹的特殊性.經心理護理榦預後,各組中焦慮/抑鬱暘性患者的焦慮/抑鬱評分較前均有明顯下降,差異均有統計學意義(t分彆為9.122,7.289,5.050,10.420;P<0.05).結論 梅毒性動脈炎所緻腦卒中患者存在較嚴重的焦慮、抑鬱狀況,其影響因素複雜而特殊,實施心理護理榦預可有效緩解患者的焦慮、抑鬱情緒,幫助患者康複.
목적 탐토매독성동맥염소치뇌졸중환자적초필、억욱상황급기영향인소,병초보평개심리호리간예적효과.방법 응용종합의원초필/억욱량표(HADS)대26례매독성동맥염(관찰조)급26례동맥죽양경화(대조조)소치뇌졸중환자진행조사,병료해기영향인소.대피학정위초필/억욱양성환자급여심리호리간예,간예후재차행HADS평분병진행대비분석.결과 관찰조환자초필평분명현고우대조조[(9.50±4.88)비(7.11±3.20)분];억욱평분고우대조조[(9.76±3.91)비(7.34±4.57)분],차이균유통계학의의(t분별위2.081,2.054;P<0.05),기산생초필、억욱적영향인소경위복잡차구유상당적특수성.경심리호리간예후,각조중초필/억욱양성환자적초필/억욱평분교전균유명현하강,차이균유통계학의의(t분별위9.122,7.289,5.050,10.420;P<0.05).결론 매독성동맥염소치뇌졸중환자존재교엄중적초필、억욱상황,기영향인소복잡이특수,실시심리호리간예가유효완해환자적초필、억욱정서,방조환자강복.
Objective To explore the status of anxiety and depression disorders of stroke patients with syphilitic arteritis and its influencing factors so as to evaluate the effect of psychological nursing.Methods And 26 stroke patients with syphilitic arteritis( observation group) and other 26 stroke patients with arteritisclerosis ( control group) were investigated with hospital anxiety and depression scale ( HADS),and the influencing factors were inquired.Psychological nursing was taken in the patients with anxiety and depression disorders,and the patients were evaluated again with HADS and were analyzed comparatively after psychological interventions.Results The anxiety scores and depression scores of HADS of observation group were significantly higher than that of control group [ (9.50 ±4.88) vs(7.11±3.20),(9.76 ± 3.91) vs(7.34 ±4.57) ;t =2.081,2.054,respectively ;P < 0.05 ) ].And after psychological nursing intervention,the scores of HADS of two group were significantly lower than that of before psychological nursing intervention ( t =9.122,7.289,5.050,10.420,respectively;P<0.05 ).Conclusions There are serious anxiety and depression disorders in the stroke patients with syphilitic arteritis,and its influencing factors are complexer and specialer.Psychological nursing can effectively ease the mood of anxiety and depression of the patients,and help them recovering health.