综合护理干预对急性前葡萄膜炎患者心理状态的影响

Effects of comprehensive nursing intervention on psychological status in patients with acute anterior uveitis

目的：探讨综合护理干预对急性前葡萄膜炎患者心理状态及护理满意度的影响。方法2012年1月—2015年10月连续收集在山东省千佛山医院眼科门诊就诊的急性前葡萄膜炎患者96例，将患者随机分为干预组50例，对照组46例。干预组给予综合护理干预，对照组采用常规护理。采用抑郁自评量表（SDS）分别测定干预前后两组患者的心理抑郁程度和对护理服务的满意度，并进行统计分析。结果96例患者经积极抗炎治疗后，炎症得以控制，病情稳定。干预前两组患者 SDS 评分差异无统计学意义（ P〉0.05）；干预后，两组患者SDS评分较干预前均降低，差异均有统计学意义（P〈0.05），且干预组患者SDS评分低于对照组，差异有统计学意义（P〈0.05）。干预后，干预组患者对护理工作的满意度评分为（72.3±5.7）分，对照组为（68.4±7.0）分，差异有统计学意义（P〈0.05）。结论综合护理干预有利于改善急性前葡萄膜炎患者的抑郁程度，降低不良心理情绪，提高对护理工作的满意度，促进疾病恢复。

Objective To observe the psychological status in patients with acute anterior uveitis and to investigate the effects of comprehensive nursing intervention on the depressive status and nursing service satisfactory degree of the patients.Methods Totally 96 patients with acute anterior uveitis diagnosed and treated in Qianfoshan Hospital, Shandong Province from January 2012 to October 2015 were selected and assigned to the control group （ n=46 ） and the intervention group （ n=50 ） at random. The patients of intervention group received comprehensive nursing intervention, while the patients of control group received routine nursing intervention. Self-rating depression scale （ SDS） was applied to evaluate the psychological status of the patients before and after the treatment and nursing intervention. The nursing service satisfactory degree of patients was compared between two groups.Results After positive anti-inflammatory treatment, 96 patients with uveitis were improved and stay stable. There was no statistically difference between two groups in SDS scale score before intervention （P〉0.05）.After intervention,the SDS scale score of both groups were significantly lower than those of score before intervention（P〈0.05）, and the score of intervention group was lower than that in the control group （P〈0.05）. The nursing service satisfactory degree in the intervention group was （72.3±5.7）, and was （68.4±7.0） in the control group after intervention （t=3.03,P=0.003）.Conclusions Comprehensive nursing intervention and treatment is good for improving the depression status, alleviating the adverse psychological emotions, improving the nursing service satisfactory degree and accelerating the recovery of the illness in the patients with acute anterior uveitis.