健康教育对神经症患者焦虑抑郁情绪的影响

Influences of health education on anxious-depressive mood in patients with neurosis

目的探讨健康教育对神经症患者焦虑抑郁情绪的影响。方法将46例神经症患者随机分为研究组24例，对照组22例，两组均给予常规药物治疗及常规精神科护理，研究组在此基础上联合健康教育。观察8w。于健康教育前及健康教育8w末采用焦虑自评量表、抑郁自评量表评定焦虑抑郁状况。结果健康教育前两组患者焦虑自评量表、抑郁自评量表总分均高于正常值，健康教育8w末，两组均较健康教育前有显著下降（P〈0．01～0．05），但研究组均较对照组下降更显著（P〈0．01～0．05）。结论健康教育可增强神经症患者的自信心，消除不良行为，提高治疗依从性，显著改善其焦虑抑郁情绪。

Objective To explore the influences of health education on anxious-depressive mood in neural patients. Methods 46 cases of neural patients were divided into study group （n=24） and control group（n=24） randomly. The study group was treated by routine drugs and psychiatric nursing and combinding with health education, the control group only by routine drugs and psychiatric nursing. Both groups were assessed with SAS and SDS before and at the end of 8 weeks of health education. Results The scores of SAS and SDS in the two groups were higher than normal value before health education. Compared with pre-health education, the scores of SAS and SDS at the end 8 weeks decreased significantly in both the two groups（P〈0.01-0. 05）, and the study group＇s scores decreased more than the control＇s（P〈0.01-0.05）. Conclusion Health education can enhance self-confidenc and eliminate bad behavior e of neural patients, in order to improve their compliance and anxious-depressive mood.