不同方式健康教育对老年精神障碍患者焦虑情绪的干预效果

Effect of Different Health Education on Anxiety of Elderly Patients with Mental Disorders

目的:研究不同方式健康教育对老年精神障碍患者焦虑情绪的护理效果。方法:选取2013年5月-2016年5月我院收治的老年精神障碍患者124例,根据随机数表法将患者均分为对照组(n=62)和观察组(n=62),对比两组护理干预前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、日常生活能力(ADL)和简易智能状态量表(MMSE)得分。结果:两组的SDS和SAS得分在干预前差异无统计学意义(P>0.05),护理干预后观察组的SDS得分显著低于对照组(t=-8.267,P<0.001);护理干预后观察组的SAS得分显著低于对照组(t=-8.211,P<0.001);护理干预后观察组的语言能力得分、逻辑能力、记忆能力得分均明显高于对照组,差异有统计学意义(t=4.261,12.221,6.961;P<0.001);护理干预后观察组的ADL得分明显低于对照组(t=-5.381,P=0.002)。结论:健康教育和心理护理干预能显著改善患者的症状,提高患者认知能力和逻辑能力,值得临床推荐。

Objective：To study the effect of different health education on anxiety of elderly patients with mental disorders.Methods..A total of 124 elderly patients with mental disorders from May 2013 to May 2016 in our hospital, according to the random number table method, were divided into control group（n=62 ）and observation group （n=62）.The SAS,SDS,ADL and MMSE scores were compared between the two groups before and after nursing inter- vention.Results： There were no significant differences between the two groups in the SDS and SAS scores before in- tervention.The SDS score of the observation group after nursing intervention was significantly lower than that of the control group（t =-8.267, P〈0.001）;After nursing intervention, the SAS score of the observation group was signifi cantly lower than that of the control group（t =-8.211, P〈0.001 ）, the scores of language ability, logical ability and memory ability of the observation group were significantly higher than those of the control group（t = 4.261,12.221, 6.961;P〈0.001） ;After nursing intervention, the ADL score of the observation group was significantly lower than that of the control group（t =-5.381, P = 0.002）.Conclusion： Health education and psychological nnrsing intervention can significantly improve the symptoms of patients,improve patients＇ cognitive ability and logical ability.