肺部感染对神经内科长期卧床患者心理状态的影响及干预效果

Effect of Hospital Lung Infection on Psychological Status of Long-term Bedridden Patients in Neurology and Intervention Effect

目的：探讨肺部感染对神经内科长期卧床患者心理状态的影响及综合干预效果。方法：选取2014年1月至2016年12月于我院神经内科长期卧床治疗的100例患者作为研究对象,采用系统性回顾分析法,并根据其临床资料记录所有患者其性别、年龄等一般临床情况以及所有患者其心理状况,且根据不同患者其不同情况予以不同的综合干预,干预结束后比较记录不同综合干预患者其心理状况的变化情况以及其对综合干预的满意度。结果：（1）观察组患者其年龄较对照组大和体重指数明显低于对照组,比较差异间具有统计学意义（t=1.999,2.425;P〈0.05）;（2）观察组患者其SAS和SDS评分均明显高于对照组（t=4.167,3.045;P〈0.01）;（3）A、B两组患者干预后其SAS和SDS评分均较干预前降低,但B组患者其降低程度明显大于A组（t=2.222,2.092;P〈0.05）;（4）观察组综合干预总满意度（94.74%）明显高于对照组（63.16%）（P〈0.05）。结论：肺部感染可明显加强长期卧床患者其负性情绪,但给予适当的综合干预可明显降低肺部感染患者其SAS和SDS评分而改善其心理状况。

Objective：To investigate the effect of hospital lung infection on the psychological status of neurologists in long bed rest and the effect of comprehensive intervention.Methods：From January 2014 to December 2016,a total of 100 patients with long-term bed rest in our hospital were selected as the subjects.The clinical data of 100 patients were retrospectively analyzed and all patients were recorded according to their clinical data.According to the clinical data,the general clinical conditions of all patients,such as sex,age,and all the patients＇ psychological status were recorded,and different comprehensive interventions were given according to the different cases of different patients.After the intervention,the changes in the psychological status of the patients with different comprehensive intervention and their satisfaction to the comprehensive intervention were recorded.Results：（1）The age and body mass index of the observation group were significantly lower than those of the control group,the difference was statistically significant（t=1.999,2.425;P〈0.05）;（2） The SAS and SDS scores of the observation group were significantly higher than those of the control group（t=4.167,3.045;P〈0.05）;（3） The scores of SAS and SDS in group A and B were lower than those before intervention,but the degree of decrease in B group was significantly greater than that in group A（t=2.222,2.092;P〈0.05）;（4） The total satisfaction（94.74%）in the observation group was significantly higher than that in the control group（63.16%）（P〈0.05）.Conclusion：Hospital lung infection can significantly enhance the negative mood of long-term bedridden patients,but appropriate comprehensive intervention care can significantly reduce the SAS and SDS scores of patients with pulmonary infection to improve their psychological status.