共情护理对神经胶质瘤合并抑郁症患者抑郁情绪与生活功能的影响

Influence of empathy nursing on depressive emotion and life function of glioma patients with depression

目的探讨共情护理对神经胶质瘤合并抑郁症患者情绪功能及生活功能的影响。方法将2006年4月至2012年12月收治的94例合并抑郁症的神经胶质瘤患者随机分为两组，研究组51例接受共情护理，对照组43例接受常规护理，对比分析两组患者干预前后的汉密尔顿抑郁量表（HAMD）评分、住院护士观察量表（NOSIE）评分及对护理工作满意度。结果干预前，研究组和对照组HAMD评分分别为（27．1±5．2），（26．9±5．0）分，差异无统计学意义（t=0．190，P〉0．05）；经过干预，研究组和对照组HAMD评分分别为（16．3±2．9），（21．1±2．5）分，差异有统计学意义（t：8．618，P〈0．05）。干预前，研究组和对照组NOSIE量表各项评分比较差异无统计学意义（P〉0．05）；经过干预，研究组社会能力、社会兴趣、个人卫生及抑郁评分分别为（9．81±2．08），（8．69±1．87），（6．61±1．97），（4．82±1．37）分，对照组分别为（13．29±1．94），（12．63±2．58），（8．84±2．35），（6．98±1．99）分，差异有统计学意义（t值分别为8．382，8．337，4．931，6．016；P〈0．05）。研究组护理工作满意度评分为（120．59±9．48）分，对照组为（112．78±10．05）分，差异有统计学意义（t=3．852，P〈0．05）。结论共情护理能够有效改善神经胶质瘤合并抑郁症患者情绪功能及生活功能，并提高患者对护理工作的满意度。

Objective To study the influence of empathy nursing on depressive emotion and life function of glioma patients with depression. Methods Totals of 94 glioma patients with depression between April 2006 and December 2012 were divided into two groups. Fifty-one cases in the experimental group accepted empathy nursing, while 43 cases in the control group accepted regular nursing. Compared and analyzed the Hamilton depression scale （HAMD） score, nurses＇ observation scale for inpatient evaluation （NOSIE） score and satisfaction for the nursing job of the two groups. Results Before the intervention, difference of HAMD score between two groups was not statistically significant [ （27.1 ± 5.2） vs （26.9 ± 5.0） ; t = 0. 190, P 〉 0. 05 ]. After the intervention, HAMD score of the experimental group was obviously better than that of the control group [ （ 16.3 ± 2.9） vs （ 21. 1 ± 2.5 ） ; t = 8. 618, P 〈 0. 05 ]. Before the intervention, the difference of social competence, social interest, personal hygiene and depression scores between the two groups was not statistically significant [ （ 16.29 ± 3. 18 ）, （ 17.52 ±3.48 ）, （ 13.98 ± 2.84）, （ 10. 24± 2. 12） vs （ 16.43 ± 3.07 ）, （17.56±3.63）,（14.13±2.91）,（10. 29±2.23）;t=0. 217,0. 054,0.252,0.111;P〉0. 05）]. After the intervention, the above ratings of experimental group was significantly better than that of the control group [（9.81 ±2.08）,（8.69±1.87）,（6.61±1.97）,（4.82 ±1.37） vs （13.29 ±1.94）,（12.63 ±2.58）, （8.84 ±2.35 ）, （6.98 ± 1.99） ; t = 8. 382,8. 337,4.931,6. 016 ; P 〈 0. 05 ） ]. The total score of nursing job satisfaction in the experimental group was significantly better than that of the control group [ （ 120.59 ±9.48 ） vs （ 112.78 ± 10.05 ） ; t = 3. 852, P 〈 0. 05 ） ]. Conclusions Empathy nursing can improve the depressive emotion and life function of glioma patients with depression, which can also improve the satisfaction of patients with the nursing job.