综合护理干预对中老年甲状腺功能减退抑郁患者康复效果及治疗依从性的影响研究

The Effect of Comprehensive Nursing Intervention on Rehabilitation and Treatment Compliance in Elderly Hypothyroidism Patients with Depression

目的探索综合护理干预对中老年甲状腺功能减退抑郁患者康复效果及治疗依从性的影响。方法选择78例中老年甲状腺功能减退抑郁患者,采用随机数字对照表法分作观察组和对照组,两组均接受常规药物治疗;另外对照组患者采取常规护理而观察组患者实施综合护理干预,评价患者康复效果及治疗依从性。结果护理干预后观察组患者SAS、SDS、NFA、ALD评分分别为40.23±4.32分、53.55±6.32分、12.33±1.98分、44.34±4.12分,与本组干预前及对照组干预后相比较均有显著改善(P<0.05);观察组患者护理干预后TT3、TT4、FT3、FT4、TSH水平均较干预前显著改善,且恢复正常水平,与对照组干预后相比较差异有统计学意义(P<0.05);观察组干预后患者治疗依从性显著改善,且明显优于对照组(P<0.05)。结论对中老年甲状腺功能减退抑郁患者实施综合护理干预可促进患者康复,提高用药依从性,临床应用价值高。

Objective To investigate the effect of treatment compliance in elderly hypothyroidism comprehensive nursing intervention on rehabilitation and patients with depression. Methods 78 cases of elderly hypothyroidism patients with depression were randomly divided into study group （39 cases） and control group （39 cases） according to the random number table method. The all patients were treated with conventional drug treatment, the control group was treated with the routine nursing care and the study group was treated with comprehensive nursing intervention. The rehabilitation effect and treatment compliance of two groups were evaluated. Results After the nursing intervention, the SAS, SDS, NFA and ALD score in study group were 40.23 ±4.32, 53.55 ± 6.32, 12.33 ± 1.98 and 44.34 ± 4. 12 respectively; and they were significantly improved compared with the pre-intervention and control group （ P 〈 0.05 ）. The serum levels of TT4, FT3, TT3 , FT4 and TSH in study group after nursing intervention were significantly improved compared with those before intervention and control group （ P 〈 0.05 ） , and were then recovered to the normal level. After the intervention, the treatment compliance in study group was improved significantly than that in control group （P 〈 0.05 ）. Conclusion Comprehensive nursing intervention could promote the rehabilitation and medication compliance in elderly hypothyroidism patients with depression, and it is worthy for clinical application.