中医情志护理对帕金森病抑郁状态患者的影响

Effect of Traditional Chinese Medicine Emotional Care on Depressive State of Patients with Parkinson's Disease

目的:探究帕金森病抑郁患者行中医情志护理的效果及对不良情绪的影响。方法:随机选取2015年6月~2017年9月本院收治的帕金森病抑郁患者84例为研究对象。按随机数表法分为2组,对照组(42例)行常规护理干预,研究组(42例)在常规护理基础上行中医情志护理。观察两组干预前、干预2个月后的焦虑、抑郁、生存质量评分及干预效果。结果:干预前2组HAMA、HAMD及生存质量评分比较差异无统计学意义(P>0.05);干预后研究组HAMA、HAMD评分为(7.38±1.06)分、(10.62±1.28)分,低于对照组(14.32±2.31)分、(16.74±2.29)分(t=17.696、15.118,P<0.05);生存质量中环境、生理、社会关系、心理领域评分为(71.24±8.91)分、(67.52±7.94)分、(52.31±6.54)分、(54.82±6.79)分,高于对照组(60.37±7.62)分、(55.23±6.76)分、(41.39±5.67)分、(43.95±5.92)分,差异有统计学意义(t=6.009、7.638、8.176、7.820,均P<0.05)。研究组干预总有效率(95.24%)高于对照组(76.19%),差异有显著差异(χ2=6.222,P<0.05)。结论:帕金森病抑郁患者进行中医情志护理的干预效果理想,可改善患者心理状态及不良情绪,提高生存质量。

Objective： To explore the effect of traditional Chinese medicine （TCM） emotional nursing on depressive patients with Parkinsong disease （PD） . Methods： 84 patients with depressive Parkinson- disease admitted to our hospital from June 2015 to Sep- tember 2017 were randomly selected as the study subjects. According to the random number table method, the patients were divided in- to two groups. The control group （42 cases） received routine nursing intervention, and the study group （42 cases ） received TCM mental nursing based on routine nursing. Observed the anxiety, depression, quality of life scores and intervention effects before and af- ter intervention for two groups. Results： There was no significant difference in the scores of HAMA, HAMD and quality of life between the two groups before intervention （ P 〉 0. 05 ） . After the intervention, the scores of HAMA and HAMD in the study group were （7.38 ± 1.06） points and （ 10. 62 ± 1.28 ） points, which were lower than the control group （ 14. 32 ± 2. 31 ） points and （ 16. 74± 2. 29） points （t = 17. 696, 15. 118, P 〈0. 05） . The scores of environmental quality, physiology, social relationship, and psychological field in the quality of life were （71.24 ± 8.91 ） points, （ 67.52± 7.94 ） points, （ 52. 31± 6. 54 ） points, and （ 54. 82 ± 6. 79） points, which were higher than the control group （60. 37±7. 62） points, （55. 23±6. 76） points, （41.39±5. 67） points, （43.95 ±5.92） points, and the differences were statistically significant （ t = 6. 009, 7. 638, 8. 176, 7. 820, all P 〈 0. 05 ） . The total effective rate of intervention of the study group （95.24%） was higher than that of the control group （76. 19% ）, and the difference was statistically significant （χ^2 = 6. 222, P 〈 0. 05 ）. Conclusion： The intervention of TCM Emotional Awareness for Parkinson disease depressive patients has a satisfactory effect, which can significantly improve the patients＇psychological state and bad mood, and improve the quality of life.