心理干预对急诊呼吸困难患者抑郁和焦虑的影响
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摘要
目的:探讨心理干预对急诊呼吸困难患者抑郁和焦虑的影响。方法:回顾性分析我院在2016年10月-2017年10月收治的急诊呼吸困难患者150例,根据干预方式将患者分为两组,每组75例。对照组给予急诊常规干预,观察组在对照组基础上加心理干预。比较两组患者干预前后的心理状况。结果:干预后,观察组患者的焦虑和抑郁评分均低于对照组(t=10.79,11.25;P<0.001)。观察组患者干预后呼吸困难率明显低于对照组患者(χ~2=16.968,P<0.001)。观察组患者总满意率明显高于对照组(χ~2=22.775,P=0.05)。结论:心理干预可明显减轻急诊呼吸困难患者焦虑、抑郁情绪,改善呼吸困难症状,提高满意度,值得临床推广。
Objective:To investigate the effect of psychological nursing on depression and anxiety in emergency patients with dyspnea.Methods:A total of 150 patients with dyspnea in our hospital from October 2016 to October 2017 were retrospectively analyzed.According to the intervention mode,the patients were divided into two groups with 75 cases in each group.The cases in the control group were given emergency routine intervention,and the cases in the observation group were given psychological intervention on the basis of the control group.The psychological status of the two groups of patients before and after intervention were compared.Results:The scores of anxiety and depression of the observation group were lower than those in the control group(t=10.79,11.25;P<0.001).The rate of dyspnea in the observation group after intervention was significantly lower than that of the control group(26.67% vs 60%)(χ~2=16.968,P<0.001).The total satisfaction rate of the patients in the observation group was significantly higher than that of the control group(93.34% vs 81.33%)(χ~2=22.775,P<0.05).Conclusion:Psychological intervention can obviously alleviate the anxiety and depression of the patients with dyspnea in emergency,improve the symptoms of dyspnea,and improve the satisfaction of intervention.
Objective:To investigate the effect of psychological nursing on depression and anxiety in emergency patients with dyspnea.Methods:A total of 150 patients with dyspnea in our hospital from October 2016 to October 2017 were retrospectively analyzed.According to the intervention mode,the patients were divided into two groups with 75 cases in each group.The cases in the control group were given emergency routine intervention,and the cases in the observation group were given psychological intervention on the basis of the control group.The psychological status of the two groups of patients before and after intervention were compared.Results:The scores of anxiety and depression of the observation group were lower than those in the control group(t=10.79,11.25;P<0.001).The rate of dyspnea in the observation group after intervention was significantly lower than that of the control group(26.67% vs 60%)(χ~2=16.968,P<0.001).The total satisfaction rate of the patients in the observation group was significantly higher than that of the control group(93.34% vs 81.33%)(χ~2=22.775,P<0.05).Conclusion:Psychological intervention can obviously alleviate the anxiety and depression of the patients with dyspnea in emergency,improve the symptoms of dyspnea,and improve the satisfaction of intervention.
引文
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[13]林飞英.共情护理对急诊患者不良情绪及治疗配合度的影响[J].实用临床医药杂志,2016,20(2):50-53
[14]唐晓群.心理辅导干预对急诊患者治疗效果的影响研究[J].河北医药,2016,38(6):956-958
[15]齐莹.心理护理在合并焦虑和抑郁的慢性阻塞性肺疾病病人中的应用[J].护理研究,2016,30(36):4599-4600
[16]代书沁,刘茂霖.心理护理干预对胸外科手术患者康复效果的影响[J].实用临床医药杂志,2016,20(14):62-65
[2]张莹丽,李惠钧,冯蓓蓓,等.心理护理对心绞痛患者焦虑抑郁状态及护理满意度的影响[J].国际精神病学杂志,2017,44(1):176-178
[3]曹小英,孟艳婕,隋曌.心理护理干预对颅骨修补术后患者抑郁焦虑水平和生存质量的影响[J].实用医院临床杂志,2016,13(5):147-149
[4]刘芹,蒋纯,姚丽,等.心理护理对肺癌术后患者疼痛及焦虑、抑郁情绪的影响[J].国际精神病学杂志,2017,44(2):362-364
[5]Moreno-Peral P,Conejo-Cerón S,Rubio-Valera M,et al.Effectiveness of Psychological and/or educational interventions in the prevention of anxiety:A systematic review,meta-analysis,and meta-regression[J].Jama Psychiatry,2017,74(10):1021-1029
[6]银玲,胡敬梅,邓蓉,等.晚期原发性肺癌患者焦虑抑郁状况及心理干预[J].中国健康心理学杂志,2017,25(10):1365-1367
[7]秦琼.综合护理干预对焦虑症患者的焦虑抑郁评分及生活质量的影响[J].中国健康心理学杂志,2018,26(2):1127-1129
[8]刘红兵,刘莹,卢云娟.心理护理对老年慢性阻塞性肺疾病患者抑郁焦虑状态及生活质量的影响[J].西部医学,2016,28(1):127-129
[9]魏瑾然.急诊胸闷患者焦虑抑郁状态分析[J].重庆医学,2017,46(2):283-285
[10]Jacq K D,Norful A A,Larson E.The variability of nursing attitudes toward mental illness:An integrative review[J].Archives of Psychiatric Nursing,2016,30(6):788-796
[11]伍青,郭爱敏,赵艳伟.慢性阻塞性肺疾病患者呼吸困难信念现状分析[J].中国护理管理,2016,16(5):630-634
[12]刘慧丽.综合护理干预对慢性心衰患者焦虑抑郁状态的影响[J].中国急救医学,2016,36(1):1250-1253
[13]林飞英.共情护理对急诊患者不良情绪及治疗配合度的影响[J].实用临床医药杂志,2016,20(2):50-53
[14]唐晓群.心理辅导干预对急诊患者治疗效果的影响研究[J].河北医药,2016,38(6):956-958
[15]齐莹.心理护理在合并焦虑和抑郁的慢性阻塞性肺疾病病人中的应用[J].护理研究,2016,30(36):4599-4600
[16]代书沁,刘茂霖.心理护理干预对胸外科手术患者康复效果的影响[J].实用临床医药杂志,2016,20(14):62-65