综合护理干预对肺结核合并艾滋病患者焦虑抑郁情绪的影响

Impact of comprehensive nursing on anxious and depressive emotions of patients with TB combined AIDS

目的观察临床综合护理对肺结核合并艾滋病患者焦虑抑郁情绪的干预效果。方法选取南宁市第四人民医院2012年2月～2013年5月收治的40例肺结核合并艾滋病（AIDS）患者，根据人院先后顺序分为对照组（n=20）和观察组（n=20）．两组分别给予普通常规护理与综合护理干预，以问卷调查方式观察护理前后两组患者抑郁自评量表（SDS）评分、焦虑心情指数（SAS）评分以及自尊评价（SES）评分，对比患者抑郁程度；采用生活质量综合评定问卷（GQOLI）评分评价患者生活质量，调查护理满意度。结果护理前，两组SAS、SDS、SES比较，差异无统计学意义（P〉0．05）。护理后观察组SAS[（36．6＋4．2）分]和SDS[（32．8±3．2）分]评分显著低于对照组[（42．3±4．3）、（39．4±3．9）分1，SES评分[（44．4±4．2）分]显著高于对照组[（38．5±3．2）分]，差异均有统计学意义（均P〈0．05）；GQOLI评分方面，观察组躯体功能[（51．37±7．99）分]、心理功能[（58．14±7．84）分]、社会功能[（57．82±6．81）分]、物质生活状态[（12．64±3．19）分]与总体生活质量因子评分[（15．57±2．57）分]明显高于对照组[（45．21±7．47）、（46．34±6．14）、（47．15±7．43）、（12．15±3．11）、（13．01±2．34）分]，差异均有统计学意义（均P〈0．05）；护理满意度方面，观察组为100．0％，对照组为70．0％，差异有统计学意义（P〈0．05）。结论对肺结核合并AIDS患者实行综合护理，可以显著改善患者焦虑抑郁情绪，提高生活质量，同此能提高患者对护理满意程度，值得临床推广。

Objective To observe the intervention effect of clinical comprehensive nursing for anxious and depressive emotions of patients with TB combined AIDS. Methods 40 patients with TB combined AIDS in the Fourth People＇s Hospital of Nanning City from February 2012 to May 2013 were chosen and randomly divided into two groups who were given common routine nursing （control group, n = 20） and comprehensive nursing （observation group, n = 20） separately. SDS, SAS and SES questionnaires were adopted to investigate and evaluate depression degrees of patients before and after nursing. Besides, GQOLI questionnaire was adopted to evaluate life qualities and satisfaction degrees towards nursing of the patients were investigated. Results Before nursing, there were no statistically significant difference in SAS, SDS and SES scores （P 〉 0.05）. After nursing, SAS, SDS scores of observation group [（36.6±4.2）, （32.8±3.2） scores] were obviously lower than those of control group [（42.3±4.3）, （39.4±3.9） scores], SES scores of observation group [（44.4± 4.2） scores] were obviously higher than those of control group [（38.5±3.2） scores], there were statistically significant dif- ferences in SAS, SDS and SES scores （all P 〈 0.05）. In terms of GQOLI, scores of body function, mental function, so- cial function, material living condition and total life quality of observation group [（51.37±7.99）, （58.14±7.84）, （57.82± 6.81）, （12.64±3.19）, （15.57±2.57） scores] were obviously higher than those of control group [（45.21±7.47）, （46.34±6.14）, （47.15±7.43）, （12.15±3.11）, （13.01±2.34） scores], there were statistically significant differences in SAS, SDS and SES scores （all P 〈 0.05）. Satisfaction degree towards nursing of observation group was 100.0%, while control group was 70.0%, there was statistically significant difference （P 〈 0.05）. Conclusion Comprehensive nursing for patients with TB combined AIDS can obviously improve their anxious and depressive emotions and life qualities and at the same time improve their satisfaction degrees towards nursing. So it is worth of being popularized clinically.