腰椎压缩性骨折患者伴发焦虑、抑郁情绪的调查分析及心理护理

目的探讨腰椎压缩性骨折患者焦虑、抑郁情绪发生的影响因素,制定对这些患者进行心理护理的具体措施。方法选择确诊的腰椎压缩性患者80例,采用Zung量表(SAS、SDS)分析调查,确定影响腰椎压缩性骨折患者焦虑、抑郁情绪发生的主要因素。针对以上因素制定心理护理措施,并观察心理护理干预对焦虑、抑郁情绪的影响。结果腰椎压缩性患者焦虑和(或)抑郁的发生率为90%,职业、家庭关系及经济条件、疾病的严重程度对腰椎压缩性患者的影响较为明显,P<0.05。对这类患者实行心理护理干预前与干预后对照比较分析,两者有明显差异,P<0.05。结论各种因素可导致腰椎压缩性患者的焦虑、抑郁情绪,而系统化整体护理干预对腰椎压缩性患者的治疗和改善疾病预后具有积极的意义。

Objective To investigate the affecting factors of anxiety and depression in patients with Lumbar vertebral compression fracture and make up concrete psychological nursing measures. Methods In order to determine the affecting factors of anxiety and depression in patients with Lumbar vertebral compression fracture Patients, 80 patients with dearly diagnosed Lumbar verte bral compression fracture Patients were selected and investigated using Zung scales table. These patients received psychological nursing measures, and their effect on anxiety and depression was also studied. Results Anxiety and depression occurred in 90% Lumbar verte bral compression fracture Patients. Profession, educational level, family rdlation ship and order of severity are the main effects （P 〈0.05）.There was no difference between male and fe male patients （P〈 0.05）. Psychological nursing intervention imprived anxiety and depression in these patients （P〈 0. 05 ） . Conclusions Several factors can cause anxiety and depression in patients with Lumbar vertebral compression fracture Patients and systematic nursing intervention can improved these two symptoms.