肝性脊髓病患者的心理评估

Psychological Assessment of Hepatic Myelopathy

目的综合评估肝性脊髓病患者的心理状态,为采取有针对性的护理措施提供依据.方法：选择我院收治的24 例肝性脊髓病患者为观察组,选择同期的健康体检者24 例为对照组,采用抑郁自评量表（SDS）和焦虑自评量表（SAS）对两组的心理状态进行评价.结果： 观察组SDS 评分为65.4±8.7,SAS 评分为69.6±6.3,明显高于对照组的27.3±6.1、19.8±4.7,差异有统计学意义（P〈0.05）.结论： 肝性脊髓病患者存在比较严重的抑郁或焦虑等负性心理状态,应针对患者的具体情况,采取适当的心理护理.

ObjectiveTo comprehensively evaluate the psychological state of hepatic myelopathy（HM） and provide information for nursing measures. Methods：Twenty fourpatients with HM （observation group） and 24 healthy controls （control group） were enrolled as subjects in our hospital. The depression self rating scale （SDS） and anxiety rating scale（SAS） were used to evaluate the psychological status of the two groups.Results：SDS score and SAS score in observation group were 65.4±8.7 and 69.6±6.3, respectively,significantly higher than 27.3±6.1 and 19.8±4.7 in the control group （P 〈 0.05）.Conclusion：The patients with HM generally had negative psychological state such as serious depressionor anxiety. proper psychological nursing should be provided according to the specific condition of patients.