系统健康教育对门诊焦虑症患者影响效果观察

Effect observation of systemic health education on outpatients with anxiety

目的:探讨系统健康教育对门诊焦虑症患者焦虑情绪及临床疗效的影响。方法:将80例焦虑症患者随机分为观察组和对照组各40例,两组均给予抗焦虑治疗,对照组常规给予服药指导及健康教育处方发放;观察组则在用药的基础上予以系统化的健康教育。比较两组患者健康教育前后汉密尔顿焦虑量表(HAMA)评分变化及临床疗效。结果:HAMA评分比较:两组患者3个月末HAMA评分较初诊时均有显著性下降(P<0.01);组间相比较,在健康教育3周末,观察组HAMA评分比对照组显著改善,差异有统计学意义(P<0.01);疗效评定:观察组显效率为82.50%,较对照组显效率52.50%,差异有统计学意义(P<0.01)。结论:在有效抗焦虑药物治疗的同时,对患者实施系统化健康教育,可以减轻患者的焦虑症状,一定程度地提升临床疗效,值得进一步推广。

Objective To explore effects of systemic health education on anxiety symptoms in outpatients with anxiety and clin-ical curative effect. Methods： 80 patients with anxiety were randomly divided into observation group and control group, and 40 casesin the two groups were given anti-anxiety treatment. Besides that, control group was given routine medication guidance and health edu-cation prescription, while observation group was given systematic health education on the basis of routine medication guidance andhealth education prescription. The changes of Hamilton anxiety scale （HAMA） score and clinical curative effect of the two groups werecompared before and after the health education. Results： Comparison of HAMA score： 3 months after the health education, the HAMAscores of the two groups were reduced significantly （P〈0. 01）; 3 weeks after the health education, the HAMA score of observationgroup were more significantly improved than that of control group, and the difference was statistically significant （P〈0. 01）. The cura-tive effect evaluation： the markedly effective rates of observation group and control group were 82. 50% and 52. 50%, respectively;and the difference was statistically significant （P 〈0. 01）. Conclusions： On the basis of the anti-anxiety treatment, the systemichealth education to the patients can relieve the patient＇s anxiety symptoms and improve the clinical curative effect to a certain extent.Therefore, it is worthy of further promotion.