心理护理干预对帕金森病患者焦虑、抑郁的影响

Influence of psychological nursing intervention on anxiety and depression in patients with Parkinson＇s disease

目的探讨心理护理干预对伴有焦虑、抑郁症状的帕金森病患者的影响。方法选择2015年1月至2017年6月来本院神经内科住院治疗的具有焦虑、抑郁症状的80例帕金森患者为研究对象，对照组给予神经内科常规护理，观察组在常规护理基础上给予心理护理干预，1个月后对两组患者焦虑抑郁情况及日常生活能力进行对比分析。结果护理干预1个月后，观察组焦虑自评量表评分为（26．9±9．1）明显低于对照组（46．3±9．8），观察组抑郁自评量表的评分为（40．6±9．8）低于对照组（49．6±9．6），差异均有统计学意义（均P〈O．05）；观察组护理后日常生活能力评分疾病恢复正常人数为21显著高于对照组的13，有显著功能障碍患者人数与护理前比较也明显减少，且差异有统计学意义（P=O．014）。结论帕金森病焦虑、抑郁症状严重影响患者日常生活能力，心理护理干预可有效降低患者焦虑、抑郁程度，提高日常生活能力。

Objective To explore the influence of psychological nursing intervention on anxiety and depression in patients with Parkinson＇s disease. Methods 80 patients with anxious and depressive Parkinson＇s disease treated at our hospital from January, 2015 to June, 2017 were selected as study objects and were divided into a control group and an observation group. The control group were routinely cared; in addition, the observation group were given psychological nursing intervention. One month after the intervention, the situation of anxiety and depression and ability of daily life were compared between these two groups. Results 1 month after the nursing intervention, the anxiety self-assessment scale score and depression self-rating scale score were lower in the observation group than in the control group [ （ 26.9±9.1 ） vs. （ 46.3±9.8 ） and （ 40.6±9.8 ） vs. （ 49.6±9.6 ） ], with statistical differences （both P 〈 0.05）. 21 patients＇ ability of daily life recovered to normal in the observation group and 13 in the control group and fewer patients had functional disorder after than before the nursing intervention in both groups, with statistical difference （P = 0.014）. Conclusions The anxiety and depressive symptoms of Parkinson＇s disease seriously affect the patients＇ daily living ability; and psychological nursing intervention can reduce the patients＇ anxiety and depression effectively and improve their ability of daily life.