特殊护理小组干预对门诊部情绪波动较大患者的效果观察

Effects of special nursing on outpatients with considerably unstable emotions

目的探讨特殊护理小组干预对门诊部情绪波动较大患者的影响。方法选取门诊部情绪波动较大的患者52例,按随机数字表法分为对照组(实施常规心理干预)和观察组(实施特殊护理小组干预)。对比2组患者护理前后汉密尔顿抑郁量表(Hamilton depression scale,HAMD)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)分值和护理效果,护理后幸福进取者问卷(happy enterprising individual questionnaire,HEIQ)分值,对比2组依从性和护理满意率。结果护理前2组HAMD和HAMA分值差异均无统计学意义(P>0.05);护理后观察组HAMA及HAMD分值均较对照组低,差异有统计学意义(P<0.05)。护理后观察组HEIQ中自我肯定、克服困难、幸福感分数均较对照组高,差异有统计学意义(P<0.05)。观察组HAMA(88.46%)及HAMD干预总有效率(80.77%)均明显高于对照组(分别为76.92%、69.23%);观察组依从性(92.31%)和患者对护理满意率(84.62%)均高于对照组(分别为76.92%、73.08%),差异有统计学意义(P<0.05)。结论特殊护理小组干预能显著缓解门诊情绪波动较大患者的负面情绪,使其建立积极心态,积极配合治疗和护理。

Objective To investigate the effects of special nursing on outpatients with unstable emotions. Methods Fifty- two outpatients with considerably unstable emotions were randomly divided into 2 groups; the routine nursing group （ the control group） and the special nursing group （the observation group） . Scores of Hamilton Depression Scale（ HAMD）and Hamilton Anxiety Scale（ HA-MA） as well as nursing effects both before and after nursing were assessed and analyzed. The scores of Happy Enterprising Individual Questionnaire（ HEIQ） were also analyzed. Then, the rates of compliance and satisfaction were compared between the 2 groups. Results Before nursing intervention, there were no significant differences in the scores of HAMD and HAMA, when comparisons were made be-tween the 2 groups. However, after nursing, the scores of HAMD and HAMA for the observation group were all lower than those of the control group, and statistical significance could be seen when comparisons were made between them（P 〈0.05）. Following nursing in-tervention, the scores of self-confirmation, attitude towards difficulties and sense of happiness in HEIQ for the observation group were all higher than those of the control group, and statistical significance could also be noticed when comparisons were made between the 2 groups（P 〈 0. 05） . Total efficacy rates in HAMA（ 88.46% ） and HAMD（80. 77% ） for the observation group were significantly higher than those of the control group （76.92%, 69.23%）. Compliance rate（92. 31% ） and satisfaction rate（84. 62% ） for the observation group were all higher than those of the control group （76.92% , 73.08% ） , also with statistical significance（P 〈0. 05）. Conclusion Special nursing could significantly ease the negative emotions of the patients with considerably unstable emotions, and it would help them to adopt a more positive attitude and cooperate actively with the medical personnel of the nursing group.