心理干预对老年耐多药肺结核患者心理状态与生活质量的影响研究

Effect of Psychological Intervention on Mental State and Quality of Life of Elderly Patients with Multi Drug Resistant Pulmonary Tuberculosis

目的探讨老年耐多药肺结核患者临床心理干预效果。方法选取2016年1—12月该院59例老年耐多药肺结核患者,并通过数字随机划分法分为参照组29例与干预组30例。参照组实施常规护理,干预组在此基础上实施心理护理,统计、比较两组焦虑、抑郁、生活质量评分。结果护理后,干预组的焦虑、抑郁改善效果显著优于参照组,焦虑、抑郁评分分别达到(40.61±4.13)分、(38.13±2.11)分,差异有统计学意义(P<0.05);护理后,干预组生活质量评分(生理机能、躯体疼痛、情感健康、精神健康)为(82.16±7.13)分、(78.22±4.56)分、(85.12±5.65)分、(84.95±5.62)分,显著高于参照组,差异有统计学意义(P<0.05)。结论对老年耐多药肺结核患者予以心理干预,可有效缓解其不良情绪,令患者具备一个良好的心理状态与生活质量。

Objective This paper tries to explore the clinical psychological intervention effect of elderly patients with multi-drug resistant pulmonary tuberculosis. Methods 59 elderly patients with tuberculosis from January to December 2016 were selected and divided into the control group （ n=29） and the intervention group （ n=30） by digital randomiza-tion. The control group adopted routine treatment, the intervention group added psychological care. The anxiety, de-pression, quality of life score of the two groups was compared. Results After treatment, the anxiety and depression im-provement effect of the intervention group was significantly better than that of the control group, the anxiety and de-pression scores were （40.61±4.13）points and （38.13±2.11）points respectively, the difference was statistically significant （ P〈0.05）; the quality of life of the intervention group： physical function, body pain, emotion health and mental health was （82.16±7.13）points, （78.22±4.56）points, （85.12±5.65）points, （84.95±5.62）points, and significantly higher than those of the control group, the difference was statistically significant（ P〈0.05）. Conclusion It is effective to relieve the bad mood of the elderly patients with multi-drug resistant pulmonary tuberculosis, so that patients can have a good psycho-logical state and quality of life