心理护理干预对多发性硬化患者治疗效果的影响

Effects of psychological nursing intervention on multiple sclerosis patients

【目的】观察心理护理干预对多发性硬化(multiple sclerosis,MS)患者治疗效果的影响,探讨提高MS疗效的护理措施。【方法】随机将2006年12月-2010年12月的126例MS住院患者分为对照组和干预组各63例,对照组给予常规护理措施,干预组在常规护理措施的基础上加强心理护理干预。应用汉密顿抑郁量表(HAMD)及汉密顿焦虑量表(HAMA)评估患者的精神状况,对两组患者治疗前后焦虑、抑郁及治疗依从性情况进行评分。【结果】治疗后,两组患者的焦虑和抑郁程度均有所下降,而干预组焦虑和抑郁评分均低于对照组,差异有统计学意义(P<0.05);干预组的治疗依从性(90.5%)高于对照组(74.6%),差异有统计学意义(χ2=5.507,P<0.05)。【结论】在MS治疗过程中,重视加强心理护理干预,有助于改善其抑郁、焦虑情绪,以提高MS患者的治疗效果,提高生活质量。

[Objective] To observe the clinical influence of psychological nursing intervention on the therapeutic effects of patients with multiple sclerosis （MS） and to explore the nursing methods for MS patients. [Methods] From December 2008 to December 2010, 126 inpatient MS patients were equally randomized into control group （accept conventional nursing and intervention group accept psychological nursing intervention based on the conventional nursing）. HAMD and HAMA were used to evaluate the patients mental status, given the psychological intervention, and then compared the anxiety, depression score and treatment compliance before and after the therapy. [ Results] After the treatment, the levels of anxiety and depression were decreased in both groups and the scores of anxiety and depression in the intervention group were significantly lower than those of the control group （P 〈 0.05）. The satisfaction rate of medical compliance in the interventional group（90.5%）was higher than that（74.6%）as the control group（ X 2 = 5.507, P 〈 0.05）. [Conclusion ] During the treatment of MS, to think highly of psychological nursing intervention may to improve depression, anxiety sentiment and life quality.