人性化护理干预对糖尿病足患者抑郁情绪的影响

Influence of humanity nursing intervention on depressed emotion of patients with diabetic foot

目的探讨人性化护理干预对糖尿病足患者抑郁情绪的影响。方法选取2012年1月~2015年1月在本院就诊的200例糖尿病足患者作为研究对象,将其随机分为实验组与对照组,每组100例。对照组给予常规护理,实验组对照组基础上给予人性化护理干预,采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评估两组干预前后的心理健康状况,并观察两组干预前后的足部症状（皮肤皲裂、麻木感、疼痛、足背动脉搏动消失）、不良事件（如感染等并发症、跌倒等意外事件）发生情况、患者满意率、用药及饮食掌握率。结果干预后,观察组的SAS、SDS评分低于对照组,差异有统计学意义（P〈0.05）;观察组不良事件发生率低于对照组,差异有统计学意义（P〈0.05）;观察组患者满意率、用药及饮食掌握率均高于对照组,差异有统计学意义（P〈0.05）;观察组干预后皮肤皲裂、麻木感、疼痛、足背动脉搏动消失等足部症状改善情况优于对照组,差异有统计学意义（P〈0.05）;观察组的治疗总有效率为95.0%,高于对照组的81.0%（P〈0.05）;观察组的DMQLS评分为（91.7±3.4）分,高于对照组的（80.5±4.3）分（P〈0.05）。结论对糖尿病足患者实施人性化护理干预,可改善患者的抑郁状况,提高其生活质量,促进其更好地康复。

Objective To explore the influence of humanity nursing intervention on depressed emotion of patients with diabetic foot. Methods 200 patients with diabetic foot in our hospital from January 2012 to January 2015 were selected as study object.They were randomly divided into experimental group（n=100） and control group（n=100）.The control group was given routine nursing,and the experimental group was given mental intervention on the basis of control group.SAS and SDS in two groups were used to value the mental health status before and after intervention,and the improvement of foot symptoms（chapped skin,felt numbness,pain and absent pulsation of foot dorsal artery）,adverse events（infection and fall）,patient satisfaction,the grasp rate of pharmacy and diet intervention were observed before and after intervention. Results After intervention,the score of SAS and SDS in observation group were lower than the control group,and the difference was statistical significance（P〈0.05）.The incidence rate of adverse events in observation group was lower than the control group,and the difference was statistical significance（P 〈0.05）.Patient satisfaction,the grasp rate of pharmacy and diet in observation group were higher than the control group,and the difference was statistical significance（P〈0.05）.After intervention,the foot symptoms improve situation liked chapped skin,felt numbness,pain and absent pulsation of foot dorsal artery in observation group was better than the control group,and the differences were statistical significance（P 〈0.05）.The total rate of intervention in observation group was 95.0%,which was higher than 81.0% of control group（P〈0.05）.The DMQLS in observation group was（91.7±3.4） point,which was higher than（80.5±4.3） point of control group（P〈0.05）. Conclusion Humanity nursing intervention can improve the patients′ depression in patients with diabetic foot, improve patients′ quality of life and promote the recovery.