延续护理心理干预方式对强直性脊柱炎患者抑郁和焦虑状态的影响

The Influence of Continuous Nursing Psychological Intervention on the Depression and Anxiety of Patients with Ankylosing Spondylitis

目的：探讨延续护理心理干预方式对强直性脊柱炎患者抑郁和焦虑状态的改善作用。方法：选择2015年6月至2016年6月因强直性脊柱炎于我院就诊的患者共150例,随机选择其中75例采用延续护理心理干预（延续护理组）,另外75例进行常规随访（常规组）,分别在治疗前和治疗后1个月、3个月采用焦虑自评量表（SAS）、抑郁自评量表（SDS）评价患者的抑郁和焦虑状态,分析延续护理对患者抑郁和焦虑状态的改善作用。结果：延续护理组和常规组患者在干预前的SAS评分对比差异没有统计学意义（t=0.306,P=0.760）,干预后1个月、3个月、6个月延续护理组显著低于常规组,差异具有统计学意义（t=-7.172,-10.166,-17.302;P〈0.01）,两组患者在干预前的SDS评分对比差异没有统计学意义（t=-1.036,P=0.302）,干预后1个月、3个月、6个月延续护理组显著低于常规组,差异具有统计学意义（t=-5.055,-7.499,-9.172;P〈0.01）。结论：延续护理心理干预方式能有效缓解强直性脊柱炎患者的焦虑和抑郁情绪。

Objective：To explore the effect of continuous nursing psychological intervention on depression and anxiety in patients with ankylosing spondylitis.Methods：From June 2015 to June 2016,150 patients were treated with ankylosing spondylitis from our hospital.75 patients were followed up for psychological care（continuation nursing group）and 75 patients were followed up for routine follow-up（conventional group）,self-rating anxiety scale（SAS）and self-rating depression scale（SDS）were used to evaluate the depression and anxiety status of patients before and after treatment.Results：There was no statistically significant difference in SAS scores between the continuation group and the conventional group（P〉0.760）.The continuation nursing group was significantly lower than the conventional group in SAS scores after 1 month,3 month and 6 month（t=-7.16,-10.166,-17.302,P〈0.01）.There was no significant difference in SDS scores between the two groups before the intervention（P〉0.05）.1 month,3 months,6 months after the intervention,the continuation nursing group was significantly lower than the conventional group,the difference was statistically significant（t=-5.055,-7.499,-9.172,P〈0.01）.Conclusion：Continuous nursing psychological intervention can effectively relieve anxiety and depression in patients with ankylosing spondylitis.