溃疡性结肠炎患者社会支持状况及护理对策

Social Support Status and Nursing Strategy of Patients with Inflammatory Bowel Disease

目的探讨溃疡性结肠炎患者焦虑、抑郁心理状况及社会支持状况之间的关系,从而为临床护理决策提供依据。方法应用焦虑自评量表(SAS)、抑郁自评量表(SDS)、社会支持评定量表(SSRS)对该院选出的于2015年7月—2016年6月收治的60例UC患者和20例健康对照者进行调查,同时分析UC患者Walmsley简化结肠炎临床活动指数(SCCAI)、SAS评分、SDS评分、SSRS评分之间相互关系。结果 UC患者SAS、SDS评分显著高于对照组(53.5±10.3vs 31.9±5.3,55.0±9.2 vs 32.7±6.3,均P<0.05);UC患者SSRS评分显著低于对照组(37.3±8.1 vs 44.7±8.4,P<0.05);UC患者SAS、SDS和SCCAI指数显著相关(r=0.448,0.324,均P<0.05);UC患者SAS、SDS和SSRS显著负相关(r=-0.356,-0.313,均P<0.05);UC患者SSRS和SCCAI无显著相关(r=-0.054)。结论 UC患者社会支持状况差,并和焦虑、抑郁状况负相关。在护理时,因注意加强心理护理并完善患者社会支持体系。

Objective To discuss the relationship between anxiety, depression and social support status of patients with in -flammatory bowel disease and provide basis for the cl inical nursing decision-making. Methods Ramdomly selected 6 0 cases of UC patients and 20 cases of healthy control people between July,2015 and June,2016 were surveyed by the SAS, SDS and SSRS, at the same time, the correlation between SCCAI, SAS score, SDS score and SSRS score of Walmsley simplified colitis of UC patients was analyzed. Results The SAS and SDS scores of UC patients were obviously higher than those in the control group,（53.5±10.3 vs 31.9±5.3,55.0±9.2 vs 32.7±6.3,all P〈0.05） , the SSRS score of UC patients was obviously lower than that in the control group （37.3±8.1 vs 44.7±8.4, P〈0.05） ,and there was a significant correlation between SAS, SDS and SCCAI indexes of UC patient s（r=0.448,0.324, all P〈0.05）,and there was a significant negative correlation between SAS, SDS and SSRS （r=-0.356,- 0 .3 13 , all P 〈 0 .0 5 ） , and there was no significant correlation between SSRS and SCCAI of UC patients （r=-0.054）. Conclusion The social support status of UC patients is bad and has a negative correlation with anxiety and depression, and we should pay attention to enhance the mental nursing and improve the social support system in nursing.