循证护理对有生育要求的宫外孕患者生活质量和预防抑郁的影响

The Study of Evidence-based Care for Improvement of Life Quality and Preventive Effect of Depression of Extrauterine Pregnancy

目的:比较偱证护理和常规护理对有生育要求的宫外孕患者生活质量和预防抑郁影响。方法:随机选取接受偱证护理的宫外孕患者64例和接受常规护理的宫外孕患者36例患者,采用Karnofsky评分和Spitzer评分检测患者生活质量的改善程度;采用SAS、SDS、HAMA和HAMD检测患者抑郁程度的改善情况。结果:偱证护理组患者的Karnofsky评分、Spitzer评分总分、Spitzer评分中的支持和精神分值高于常规护理组,两组比较差异均有统计学意义(P<0.05);偱证护理组患者的SAS、SDS、HAMA和HAMD评分均底于常规护理组,两组比较差异有统计学意义(P<0.05)。结论:偱证护理对改善生活质量,减轻抑郁症状作用优于常规护理。

Objective： To compare the clinical value of quality of life and preventive effect of depression of extrauterine pregnancy provided evidence-based care and routine care.Methods： Random compare 64 cases of patients with extrauterine pregnancy provided evidence-based care and 36 cases of patients with extrauterine pregnancy provided routine care,evaluate the difference of the improvement of quality of life between the groups of evidence-based care and routine care using Karnofsky and Spitzer,detect the value of preventive effect of depression using SAS,SDS,HAMA and HAMD.Results： There are significant differences of the improvement of quality of life between the groups of evidence-based care and routine care in Karnofsky,Spitzer,sprit of Spitzer and support of Spitzer（P0.05）.There are significant differences in SAS,SDS,HAMA and HAMD between the two groups（P0.05）.Conclusions： Evidence-based care is superior to routine care in improvement of quality of life and preventive effect of depression of extrauterine pregnancy provided evidence-based care.