广州医学院学报
廣州醫學院學報
엄주의학원학보
ACADEMIC JOURNAL OF GUANGZHOU MEDICAL COLLEGE
2014年
3期
109-112
,共4页
肾病综合征%焦虑%抑郁%疾病影响程度%中西医结合 “三全”模式
腎病綜閤徵%焦慮%抑鬱%疾病影響程度%中西醫結閤 “三全”模式
신병종합정%초필%억욱%질병영향정도%중서의결합 “삼전”모식
effect of nephrotic syndrome%anxiety%depressiondisease extent%" three" of intervention model
目的：观察实施“三全”干预模式对肾病综合征患者疾病影响程度和不良情绪状态的干预效应。方法：研究对象200例，随机分为观察组和对照组各100例，对照组采用护理程序的方法给予系统化整体护理干预，观察组则采用中西医结合“三全”模式即“全人干预、全心中医情志干预和全程疾病干预”模式进行干预。两组患者均于干预前(入院第1天)和干预后(1年后)采用疾病影响程度量表、焦虑自评量表(SAS)及抑郁自评量表(SDS)[进行入组和实施后测评。对前后2次测评结果进行统计学处理(t 检验)]。结果：两组患者采用不同模式干预前其疾病影响程度、焦虑、抑郁测评得分无显著性差异，不同模式干预后其疾病影响程度之躯体功能影响(SD-Ⅰ)、社会心理影响(SD-Ⅱ)、其它3个维度测评得分以及焦虑、抑郁不良情绪状态，观察组均较对照组大幅度降低，与对照组相比以及观察组自身前后相比，均具有非常显著性差异(均 P<0.01)和极显著性差异(均 P<0.001)。结论：中西医结合“三全”干预模式可有效缓解肾病综合征患者的不良情绪状态，减轻疾病影响程度，促进康复。
目的：觀察實施“三全”榦預模式對腎病綜閤徵患者疾病影響程度和不良情緒狀態的榦預效應。方法：研究對象200例，隨機分為觀察組和對照組各100例，對照組採用護理程序的方法給予繫統化整體護理榦預，觀察組則採用中西醫結閤“三全”模式即“全人榦預、全心中醫情誌榦預和全程疾病榦預”模式進行榦預。兩組患者均于榦預前(入院第1天)和榦預後(1年後)採用疾病影響程度量錶、焦慮自評量錶(SAS)及抑鬱自評量錶(SDS)[進行入組和實施後測評。對前後2次測評結果進行統計學處理(t 檢驗)]。結果：兩組患者採用不同模式榦預前其疾病影響程度、焦慮、抑鬱測評得分無顯著性差異，不同模式榦預後其疾病影響程度之軀體功能影響(SD-Ⅰ)、社會心理影響(SD-Ⅱ)、其它3箇維度測評得分以及焦慮、抑鬱不良情緒狀態，觀察組均較對照組大幅度降低，與對照組相比以及觀察組自身前後相比，均具有非常顯著性差異(均 P<0.01)和極顯著性差異(均 P<0.001)。結論：中西醫結閤“三全”榦預模式可有效緩解腎病綜閤徵患者的不良情緒狀態，減輕疾病影響程度，促進康複。
목적：관찰실시“삼전”간예모식대신병종합정환자질병영향정도화불량정서상태적간예효응。방법：연구대상200례，수궤분위관찰조화대조조각100례，대조조채용호리정서적방법급여계통화정체호리간예，관찰조칙채용중서의결합“삼전”모식즉“전인간예、전심중의정지간예화전정질병간예”모식진행간예。량조환자균우간예전(입원제1천)화간예후(1년후)채용질병영향정도량표、초필자평량표(SAS)급억욱자평량표(SDS)[진행입조화실시후측평。대전후2차측평결과진행통계학처리(t 검험)]。결과：량조환자채용불동모식간예전기질병영향정도、초필、억욱측평득분무현저성차이，불동모식간예후기질병영향정도지구체공능영향(SD-Ⅰ)、사회심리영향(SD-Ⅱ)、기타3개유도측평득분이급초필、억욱불량정서상태，관찰조균교대조조대폭도강저，여대조조상비이급관찰조자신전후상비，균구유비상현저성차이(균 P<0.01)화겁현저성차이(균 P<0.001)。결론：중서의결합“삼전”간예모식가유효완해신병종합정환자적불량정서상태，감경질병영향정도，촉진강복。
Objective: To observe the effect ofimplementation of " intervention effect Sanquan"intervention on patients of nephrotic syndrome andadverse emotional state. Methods: 200 subjects, randomly divided into observation group and control group with 100 cases in each group, group used the nursing programcontrol to give a systematic holistic nursing care,observation group with integrated traditional Chinese and Western medicine " three all" mode that " all human intervention, and mental intervention and Quan Chengji disease intervention" mode of intervention. Two groups of patients before intervention (the first day of admission) andintervention (after 1 years) scale, self rating Anxiety Scale( SAS) and the disease affects the self rating Depression Scale (SDS) [into the group and post implementationevaluation. The 2 evaluation results were treated statistically (t test)]. Results:the two groups of patients with different mode Before intervention the influence degree of anxiety,depression, disease evaluation scores had no significant difference between the effects of the disease, the impact of different patterns of physical function after intervention(SD-Ⅰ), social and psychological influence (SD-Ⅱ), the 3 dimensions of evaluation score and the anxiety and depression, emotional state, the observation group were lower than those in the control group decreased, compared with the control group and the observation group before and after compared, all have very significant difference(P<0.01) and very significant difference (P < 0. 001). Conclusion: combining traditional Chinese and Western medicine " three" of the intervention model can effectively alleviate the patients with nephrotic syndrome of the emotional state, reduce the disease effect, promote the rehabilitation.
