梅毒性动脉炎所致脑卒中患者焦虑、抑郁状况的调查及心理护理

Investigation on the stroke patients＇ anxiety and depression with syphilitic arteritis and psychologicalnursing

目的探讨梅毒性动脉炎所致脑卒中患者的焦虑、抑郁状况及其影响因素，并初步评价心理护理干预的效果。方法应用综合医院焦虑／抑郁量表（HADS）对26例梅毒性动脉炎（观察组）及26例动脉粥样硬化（对照组）所致脑卒中患者进行调查，并了解其影响因素。对被确定为焦虑／抑郁阳性患者给予心理护理干预，干预后再次行HADS评分并进行对比分析。结果观察组患者焦虑评分明显高于对照组[（9．50±4．88）比（7．11±3．20）分]；抑郁评分高于对照组[（9．76±3．91）比（7．34±4．57）分]，差异均有统计学意义（t分别为2．081，2．054；P〈0．05），其产生焦虑、抑郁的影响因素更为复杂且具有相当的特殊性。经心理护理干预后，各组中焦虑／抑郁阳性患者的焦虑／抑郁评分较前均有明显下降，差异均有统计学意义（t分别为9．122，7．289，5．050，10．420；P〈0．05）。结论梅毒性动脉炎所致脑卒中患者存在较严重的焦虑、抑郁状况，其影响因素复杂而特殊，实施心理护理干预可有效缓解患者的焦虑、抑郁情绪，帮助患者康复。

Objective To explore the status of anxiety and depression disorders of stroke patients with syphilitic arteritis and its influencing factors so as to evaluate the effect of psychological nursing. Methods And 26 stroke patients with syphilitic arteritis （observation group） and other 26 stroke patients with arteritisclerosis （control group） were investigated with hospital anxiety and depression scale（ HADS）, and the influencing factors were inquired. Psychological nursing was taken in the patients with anxiety and depression disorders, and the patients were evaluated again with HADS and were analyzed comparatively after psychological interventions. Results The anxiety scores and depression scores of HADS of observation group were significantly higher than that of control group [ （9.50±4.88 ） vs （7.11±3.20）, （9.76±3.91 ） vs （ 7.34±4.57 ） ; t = 2.081,2. 054, respectively ;P 〈 0.05）]And after psychological nursing intervention, the scores of HADS of two group weresignificantly lower than that of before psychological nursing intervention （ t = 9. 122,7. 289,5. 050, 10. 420, respectively ;P 〈 O. 05）. Conclusions There are serious anxiety and depression disorders in the stroke patients with syphilitic arteritis, and its influencing factors are complexer and specialer. Psychological nursing can effectively ease the mood of anxiety and depression of the patients, and help them recovering health.