综合护理干预对颈椎间盘突出症患者焦虑抑郁情绪的影响

The effect of comprehensive nursing intervention on anxiety and depression of patients with cervical disc hemiation

目的探讨综合护理干预对颈椎间盘突出症患者焦虑、抑郁情绪的影响。方法将符合颈椎间盘突出症诊断标准的80例患者随机分为观察组和对照组各40例，观察组在常规治疗和护理的基础上给予综合护理干预，包括支持性干预、行为干预、教育性干预、集体干预、家庭干预、放松疗法、娱乐疗法等，对照组给予常规治疗护理及健康教育。应用Zung氏焦虑自评量表（SAS）和抑郁自评量表（SDS）评定颈椎间盘突出症患者焦虑抑郁情绪。结果观察组经上述干预后，焦虑抑郁情绪明显减轻，SAS、SDS评分明显低于对照组，差异有统计学意义（P〈0．01）；对照组SAS、SDS评分降低不明显，无统计学意义（P〉0．05）；干预后观察组评分明显低于对照组（P〈0．01）。结论对颈椎间盘突出症患者实施综合护理干预后其焦虑抑郁情绪得到有效改善，值得推广。

Objective To study the effect of comprehensive nursing intervention on anxiety and depression of patients with cervical disc herniation. Methods Eighty patients with cervical disc herniation were divided into two groups randomly ： observation group with 40 ca- ses and control group with 40 cases. The control group was received routine nursing and health education. The observation group on the basis of routine treatment and nursing intervention was received comprehensive nursing including supportive intervention, behavioral intervention, educational intervention, group intervention, family intervention, relaxation therapy and recreation therapy. All of them were assessed about anxiety and depression with Zung^s self, rating anxiety scale （SAS） and self - rating depression scale （ SDS ） . Results The observation group patients＇mood of anxiety and depression were reduced significantly by the intervention. The scores of SAS, SDS were significantly lower than those of control group, the differences had statistical significance （P 〈0. 01 ）, but the scores of SAS, SDS in control group were not, the differences had not statistical significance （ P 〉 0. 05 ） . Conclusions The anxiety and depression of patients with cervical disc hernia- tion are reduced effectively after comprehensive nursing intervention, it is worth promoting.