中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
32期
3978-3982
,共5页
杨粉英%王林%陈爱明%庄志清
楊粉英%王林%陳愛明%莊誌清
양분영%왕림%진애명%장지청
阿尔茨海默病%希望理论%焦虑%抑郁%希望指数
阿爾茨海默病%希望理論%焦慮%抑鬱%希望指數
아이자해묵병%희망이론%초필%억욱%희망지수
Alzheimer’s disease%Hope theory%Anxiety%Depression%Hope index
目的：探讨希望理论对早期阿尔茨海默病（AD）患者焦虑、抑郁情绪及希望指数的影响。方法将35例早期AD患者随机分为观察组（n＝18）和对照组（n＝17），两组均给予入院介绍、治疗、护理及健康教育，观察组在此基础上将希望理论贯穿其中，采用Herth希望指数（HHI）、焦虑自评量表（SAS）、抑郁自评量表（SDS）评价两组患者焦虑、抑郁情绪及希望指数的变化。结果观察组干预前、干预后1个月、干预后3个月HHI评分分别为（26．37±4．29），（31．78±5．39），（38．64±6．33）分，对照组得分分别为（26．65±5．12），（30．12±6．37），（32．71±7．29）分；两组干预前后组内比较差异均有统计学意义（F值分别为6．95，4．32；P＜0．05），干预前两组组间比较差异无统计学意义（P＞0．05），干预后1个月、3个月两组组间比较差异均有统计学意义（t值为1．96，4．62；P＜0．05）；干预前两组患者SAS、SDS评分比较差异均无统计学意义（P＞0．05）；干预后1个月两组患者SAS、SDS评分比较差异均有统计学意义（P＜0．05）；干预3个月后，观察组SAS评分（41．3±13．8），SDS评分（46．3±10．8），均低于对照组，差异均有统计学意义（t值分别为7．26，3．97；P＜0．05）。结论希望理论应用在护理措施中可以提高早期AD患者的希望指数，缓解其焦虑、抑郁情绪，提高患者生活质量。
目的：探討希望理論對早期阿爾茨海默病（AD）患者焦慮、抑鬱情緒及希望指數的影響。方法將35例早期AD患者隨機分為觀察組（n＝18）和對照組（n＝17），兩組均給予入院介紹、治療、護理及健康教育，觀察組在此基礎上將希望理論貫穿其中，採用Herth希望指數（HHI）、焦慮自評量錶（SAS）、抑鬱自評量錶（SDS）評價兩組患者焦慮、抑鬱情緒及希望指數的變化。結果觀察組榦預前、榦預後1箇月、榦預後3箇月HHI評分分彆為（26．37±4．29），（31．78±5．39），（38．64±6．33）分，對照組得分分彆為（26．65±5．12），（30．12±6．37），（32．71±7．29）分；兩組榦預前後組內比較差異均有統計學意義（F值分彆為6．95，4．32；P＜0．05），榦預前兩組組間比較差異無統計學意義（P＞0．05），榦預後1箇月、3箇月兩組組間比較差異均有統計學意義（t值為1．96，4．62；P＜0．05）；榦預前兩組患者SAS、SDS評分比較差異均無統計學意義（P＞0．05）；榦預後1箇月兩組患者SAS、SDS評分比較差異均有統計學意義（P＜0．05）；榦預3箇月後，觀察組SAS評分（41．3±13．8），SDS評分（46．3±10．8），均低于對照組，差異均有統計學意義（t值分彆為7．26，3．97；P＜0．05）。結論希望理論應用在護理措施中可以提高早期AD患者的希望指數，緩解其焦慮、抑鬱情緒，提高患者生活質量。
목적：탐토희망이론대조기아이자해묵병（AD）환자초필、억욱정서급희망지수적영향。방법장35례조기AD환자수궤분위관찰조（n＝18）화대조조（n＝17），량조균급여입원개소、치료、호리급건강교육，관찰조재차기출상장희망이론관천기중，채용Herth희망지수（HHI）、초필자평량표（SAS）、억욱자평량표（SDS）평개량조환자초필、억욱정서급희망지수적변화。결과관찰조간예전、간예후1개월、간예후3개월HHI평분분별위（26．37±4．29），（31．78±5．39），（38．64±6．33）분，대조조득분분별위（26．65±5．12），（30．12±6．37），（32．71±7．29）분；량조간예전후조내비교차이균유통계학의의（F치분별위6．95，4．32；P＜0．05），간예전량조조간비교차이무통계학의의（P＞0．05），간예후1개월、3개월량조조간비교차이균유통계학의의（t치위1．96，4．62；P＜0．05）；간예전량조환자SAS、SDS평분비교차이균무통계학의의（P＞0．05）；간예후1개월량조환자SAS、SDS평분비교차이균유통계학의의（P＜0．05）；간예3개월후，관찰조SAS평분（41．3±13．8），SDS평분（46．3±10．8），균저우대조조，차이균유통계학의의（t치분별위7．26，3．97；P＜0．05）。결론희망이론응용재호리조시중가이제고조기AD환자적희망지수，완해기초필、억욱정서，제고환자생활질량。
Objective To explore the effect of hope theory on anxiety , depression, and hope index in the patients with early Alzheimer’s disease.Methods Thirty-five patients with early Alzheimer’s disease were randomly divided into the observation group (n=18) and the control group (n=17), both groups received conventional admission introduction, treatment, nursing and health education, and the observation group additionally received interventions based on hope theory .The anxiety, depression and changes in hope index were evaluated by Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS) and Herth Hope Index (HHI).Results The scores of HHI were respectively (26.37 ±4.29), (31.78 ±5.39), (38.64 ±6.33) in the observation group before intervention , one and three months after intervention , and were (26.65 ±5.12), (30.12 ±6.37), (32.71 ±7.29) in the control group, and the differences were statistically significant between two group before and after intervention (F=6.95, 4.32, respectively;P<0.05);no significant difference was found between two groups before intervention (P>0.05); the significant differences were found between two groups one and three months after intervention ( t =1.96, 4.62 respectively; P <0.05).No significant difference was found in the scores of SAS and SDS between two groups before intervention ( P>0.05); the significant difference was found between two groups one month after intervention (P<0.05).The scores of SAS and SDS were respectively (41.3 ±13.8), (46.3 ±10.8) in the observation group three month after intervention , and were lower than those of the control group , and the differences were statistically significant (t=7.26, 3.97,respectively;P<0.05).Conclusions Hope theory used in nursing measures can improve the hope index in patients with early Alzheimer ’s disease, release the anxiety and depression , and improve their quality of life.
