综合护理干预对改善老年痴呆患者亲属情绪障碍及应对方式的影响

Investigation on nursing intervention improving coping style and emotional disorder of relatives of the senile dementia in hospital

目的探讨综合护理干预对改善住院老年痴呆（AD）患者亲属情绪障碍及应对方式的效果。方法将65名住院AD患者亲属随机分为干预组31名和对照组34名，干预组给予3个月综合护理干预，对照组接受常规护理。采用症状自评量表（SCL-90）、特质应对方式问卷（TCSQ），分别于干预前和干预后评定干预效果。结果干预12周后，干预组SCL-90中的躯体化、人际关系敏感、抑郁、焦虑因子分较对照组显著降低，TCSQ中的消极应对因子分显著降低，2组比较差异均有统计学意义。结论综合护理干预能够改善AD患者亲属的焦虑、抑郁情绪和消极应对方式。

Objective To evaluate the effects of nursing intervention on coping style and emotional disorder of relatives of the senile dementia in hospital. Methods Sixty-five relatives of the inpatients with senile dementia were randomly assigned to con trol group and nursing intervention group, who were investigated with SCL-90 and coping style questionnaire （TCSQ） at 4-week intervals. The former received comprehensive intervention, while the latter received routine nursing. Results After 12-week, in intervention group, the factor-scores of SCL-90 such as somatization, interpersonal relationship were significantly reduced （P 〈 0. 05）, and the factor-scores of SCL-90 such as depression were significantly reduced （P 〈 0. 05 ）, The factor-score of negative coping style of the intervention group was significantly lower than those in control group （ P 〈 0. 05 ）. Conclusions Nursing intervention can improve depression and anxiety, negative coping style of the relatives of the senile dementia in hospital.