心理护理干预对多重耐药菌感染患者焦虑抑郁情绪的作用

The improving effect of anxiety and depression with psychological Nursing Intervention in Multi-drug resistant infections

目的分析多重耐药菌感染患者实施心理护理干预对改善焦虑、抑郁等不良心理的作用。方法选取我院科室在2013年10月～2015年1月收治多重耐药菌感染患者240例（132例属ICU、EICU、脑外科昏迷病人及新生儿科不具备心理干预），依照护理模式不同分为心理干预组128例和对照组112例，给予对照组常规护理，给予心理干预组心理干预，分析护理效果。结果护理前，两组患者焦虑、抑郁情况差异不明显，P〉0．05，经过护理，心理干预组患者抑郁评分（28．1±0．6）显著低于对照组（33．5±1．3），P〈0．05，心理干预组患者焦虑评分（28．4±1．2）显著低于对照组（33．8±1．1），P〈O．05，心理干预组患者反复感染（4．7％）、交叉感染发生率（0．8％）显著低于对照组反复感染（14．3％）、交叉感染发生率（5．3％），P〈0．05，心理干预组康复时间（10．4±2．6）d显著短于对照组（16．7±3．5）d，P〈0．05。结论多重耐药菌感染患者实施心理护理干预能够改善患者不良情绪，减少反复感染，提高护理满意度。

Objective To analyze the improving effect of anxiety and depression with psychological Nursing Intervention in Multi-drug resistant infections, and to provide reference for clinical care.Methods 240 patients （ 130 cases were ICU, EICU, Neurosurgery and neonatology coma patients did not have the psychological intervention ） with resistant infections in hospital from December 2013 to January 2015 were selected, patients were divided into control group （ 112 cases ） and psychological intervention group （ 128 cases ） according to the Nursing Model.control group patients were given careful of conventional care, psychological intervention group patients were given careful of psychological intervention, the improving effect of the two groups were compared.Results Two groups of patients anxiety depression situation were no significant difference before treatment, P〉 0.05, psychological intervention group depression score （ 28.1 ± 0.6 ） was significantly lower than the control group （ 33.5 ± 1.3 ） after treatment, P〈0.05, psychological intervention group anxiety scores （28.4 ±1.2 ） was significantly lower than the control group （33.8± 1.1 ）, P 〈 0.05, Psychological intervention group patients with recurrent infections （4.7 % ）, the incidence of cross-infection （0.8 % ） were significantly lower than the control group recurrent infections （ 14.3 % ） and poor infection rate （5.3 % ）, P〈 0.05, Rehabilitation time of psychological intervention group （ 10.4 ± 2.6 ） d was significantly shorter than the control group （ 16.7 ± 3.5 ） d, P〈 0.05.Conclusion Multi drug resistant bacteria infection in patients with psychological care intervention can improve patients with negative emotions, reduce recurrent infections, improve nursing satisfaction.