中西医结合“三全”干预对肾病综合征患者疾病影响程度和焦虑抑郁干预效应

Integrative medicine "three wide" mode effects on patients with nephrotic syndrome disease the extent and effects of anxiety and depression intervention

目的:观察实施"三全"干预模式对肾病综合征患者疾病影响程度和不良情绪状态的干预效应。方法:研究对象200例,随机分为观察组和对照组各100例,对照组采用护理程序的方法给予系统化整体护理干预,观察组则采用中西医结合"三全"模式即"全人干预、全心中医情志干预和全程疾病干预"模式进行干预。两组患者均于干预前(入院第1天)和干预后(1年后)采用疾病影响程度量表、焦虑自评量表(SAS)及抑郁自评量表(sDS)[进行入组和实施后测评。对前后2次测评结果进行统计学处理(t检验)]。结果:两组患者采用不同模式干预前其疾病影响程度、焦虑、抑郁测评得分无显著性差异,不同模式干预后其疾病影响程度之躯体功能影响(SD-Ⅰ)、社会心理影响(SD-Ⅱ)、其它3个维度测评得分以及焦虑、抑郁不良情绪状态,观察组均较对照组大幅度降低,与对照组相比以及观察组自身前后相比,均具有非常显著性差异(均P<0.01)和极显著性差异(均P<0.001)。结论:中西医结合"三全"干预模式可有效缓解肾病综合征患者的不良情绪状态,减轻疾病影响程度,促进康复。

Objective： To observe the effect ofimplementation of ＂ intervention effect Sanquan＂intervention on patients of nephrotic syndrome andadverse emotional state. Methods： 200 subjects, randomly divided into observation group and control group with 100 cases in each group, group used the nursing programcontrol to give a systematic holistic nursing care,observation group with integrated traditional Chinese and Western medicine ＂ three all＂ mode that ＂ all human intervention, and mental intervention and Quan Chengji disease intervention＂ mode of intervention. Two groups of patients before intervention （the first day of admission） andintervention （after 1 years） scale, self rating Anxiety Scale（ SAS） and the disease affects the self rating Depression Scale （SDS） [into the group and post implementationevaluation. The 2 evaluation results were treated statistically （t test）]. Results：the two groups of patients with different mode Before intervention the influence degree of anxiety,depression, disease evaluation scores had no significant difference between the effects of the disease, the impact of different patterns of physical function after intervention（SD-Ⅰ）, social and psychological influence （SD-Ⅱ）, the 3 dimensions of evaluation score and the anxiety and depression, emotional state, the observation group were lower than those in the control group decreased, compared with the control group and the observation group before and after compared, all have very significant difference（P〈0.01） and very significant difference （P 〈 0. 001）. Conclusion： combining traditional Chinese and Western medicine ＂ three＂ of the intervention model can effectively alleviate the patients with nephrotic syndrome of the emotional state, reduce the disease effect, promote the rehabilitation.