综合护理对抑郁症伴焦虑患者的临床疗效

Clinical effect of comprehensive nursing on patients with depression and anxiety

目的探讨综合护理对抑郁症伴焦虑患者的临床疗效。方法收集2012年3月至2014年3月于我科治疗的抑郁症伴焦虑患者共80例,随机分为观察组与对照组,每组各40例。对照组在常规药物治疗的基础上,采用常规护理,观察组在常规药物治疗的基础上采用综合护理干预,6周后对比两组患者治疗前后的汉密尔顿抑郁量表评分(HAMD)、焦虑量表评分(HAMA)、临床疗效总评量表之疾病严重程度评分(CGI-SI)。结果两组患者干预前HAMA,HAMD和CGI-SI评分,组间比较无明显差异(P>0.05)。干预6周后,两组患者的HAMA,HAMD和CGI-SI评分较干预前均降低,且观察组上述量表评分均显著低于对照组,上述差异均有统计学意义(P<0.01)。结论在常规治疗和护理的基础上,采用综合护理方法干预,能更显著改善抑郁症伴焦虑患者的抑郁焦虑情绪,更快地改善患者的病情严重程度,具有肯定的临床疗效。

Objective To investigate the clinical effect of comprehensive nursing on patients with depression and anxiety. Methods 80 cases of patients with depression and anxiety in our hospital were collected from March 2012 to March 2014 and randomly divided into the observation group and the control group,40 cases for each group. The control group was given routine treatment and nursing care,and the observation group was given comprehensive nursing based on the treatment and nursing care of the control group. Then 6 weeks after intervention,the scales of HAMA,HAMD and CGI-SI of the two groups were compared. Results There was no significant differences of HAMA,HAMD and CGI-SI scores between the two groups before intervention（P0.05）.After intervention,the HAMA,HAMD and CGI-SI scores were lower in the both two groups than that before nursing intervention. Meanwhile the indexes mentioned above in the observation group were better than that in the control group,all the differences above were statistically significant（P0.01）. Conclusion The comprehensive nursing based on the routine therapy and nursing care can be more helpful and quickly to improve the anxiety and depression of patients with depression and anxiety as well as the severity of illness.It has affirmative clinical effect.