心理护理对慢性溃疡性结肠炎患者焦虑、抑郁状况及生活质量的影响

Psychological nursing influence on anxiety,depression and life quality of patients with chronic ulcerative colitis

目的：探讨心理护理对慢性溃疡性结肠炎患者焦虑、抑郁状况与生活质量的影响。方法选取2013年6月—2015年6月收治的100例慢性溃疡性结肠炎患者，按随机数字法随机分为对照组（50例）和研究组（50例），对照组采用常规慢性溃疡性结肠炎治疗和护理，研究组在对照组的基础上进行针对性的心理疏导、音乐放松等心理护理。比较两组治疗效果、护理前后的汉密尔顿抑郁评分（HAMD）、汉密尔顿焦虑评分（HAMA）及生活质量。结果对照组治疗有效率84．00％，研究组治疗有效率96．00％，差异有统计学意义（P ＜0．05）；干预后对照组 HAMD 得分、HAMA 得分分别为（16．76±3．69）分、（14．46±1．68）分，研究组 HAMD 得分、HAMA 得分分别为（10．28±2．41）分、（9．44±1．53）分，差异有统计学意义（P ＜0．05）。研究组护理后生理机能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能和精神健康8个维度的生存质量得分均高于对照组，差异有统计学意义（P ＜0．05）。结论在常规慢性溃疡性结肠炎治疗和护理的基础上进行心理疏导、音乐放松等心理护理有利于慢性溃疡性结肠炎疗效的提高、抑郁和焦虑等不良心理状态的缓解以及生存质量的提高。

Objective To investigate the influence of psychological nursing on anxiety,depression and quality of life of the patients with chronic ulcerative colitis.Methods One hundred patients with chronic ulcerative colitis in our hospital from June 201 3 to June 2015 were selected and randomly divided into control group （n =50）and study group （n =50）according to number random table.The patients in control group accepted the conventional chronic ulcerative colitis treatment and care,while the patients in study group accepted the psychological nursing including targeted psychological counseling and music intervention on the basis of the treatment and care in control group.The curative effect,the scores of Hamilton depression scale （HAMD）,Hamilton anxiety scale （HAMA）and SF-36 life quality scale before and after the nursing in the two groups were compared.Results The effective rate in control group was 84.00% and the effective rate in study group was 96.00%.The significant difference was found between them （P 〈0.05 ）.After the intervention the scores of HAMD and HAMA in control group were （16.76 ±3.69）and （14.46 ±1 .68）, while the scores in study group were （10.28 ±2.41 ）and （9.44 ±1 .53）respectively.The score of differences were significant between the two groups （P 〈0.05）.After the nursing the scores of eight dimensional life quality including physiological function,physiological role,body pain,general health,vitality,social function,emotional function and mental health in study group were significantly higher than that in control group （P 〈0.05）.Conclusions Psychological nursing including psychological counseling and music relaxes, which is on the basis of the conventional chronic ulcerative colitis treatment and care,is beneficial to improve the curative effects of chronic ulcerative colitis,alleviate adverse psychological states like depression and anxiety and improve life quality.