运用同感心对有抑郁情绪心脏病病人进行心理护理的探讨

Empathy Was Used on Heart Disease Patients with Depression during Mental Care

目的探讨运用同感心对心脏病伴有抑郁情绪病人进行心理护理的方法。方法运用自评抑郁量表由经统一培训的护理人员对2005年12月-2006年3月住院的192例心脏病病人进行抑郁情绪评估,指导病人自评填写抑郁量表,对文盲或其他原因不能填写者,由评估者对病人逐条询问记录,现场收回。根据评估结果,对伴有抑郁情绪的心脏病病人运用同感心进行针对性心理护理干预,评价其效果。结果192例心脏病病人中有67例伴有抑郁情绪,运用同感心进行心理护理后抑郁人数为25例,较运用同感心进行心理护理前明显减少(2χ=3.580,P<0.001);运用同感心进行心理护理前67例抑郁病人中轻度有30例,中度25例,重度12例;运用同感心进行心理护理后存在抑郁者轻度为11例,中度10例,重度4例。结论运用同感心对心脏病伴有抑郁情绪病人进行心理护理可行有效,也很有必要。

Objective To study the methods of empathy on heart disease （HD） patients with depression during mental care. Methods The trained nurses used Self-rating Scale （SDS） to measure the level of depression of 192 HD patients, hospitalized from Dec. 2005 to Mar. 2006. They instructed them to fill out the scales and helped those illiterates and those who could not fill out for certain reasons and then got those forms collected. Then they carried out pertinent mental nursing intervention on those patients with depression using empathy and evaluated the effect of the intervention. Results 67 patients among all the 192 ones were assessed with depression. After mental intervention with empathy, only 25 were found with depression, which was significantly reduced compared to pre-intervention （Х^2=3.580, P〈0.001）, Before intervention, 30 of the 67 patients were at the mild degree of depression and 25 at the moderate degree, and 12 at the severe degree. After intervention, the numbers were reduced to 11, 10 and 4, respectively. Conclusion It is not only effective but also necessary to mentally care HD patients with depression by using empathy.