综合心理护理干预对多系统萎缩照料者心理状况与生活质量的影响

The influence of comprehensive psychological nursing intervention on mental state and quality of life of multi-system atrophy caregivers

目的调查多系统萎缩照料者的心理状况与生活质量,干预以缓解其焦虑、抑郁情绪,提高其生活质量。方法将40例多系统萎缩照料者随机分为实验组20例和对照组20例,应用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评估2组心理状况;应用世界卫生组织生活质量测定量表简表(WHOQOL-BREF)中文版评估2组生活质量。对照组给予常规护理指导,实验组在此基础上进行综合心理护理干预,3个月后仍用上述量表评价干预效果。结果多系统萎缩照料者在干预前焦虑、抑郁阳性率>60%;干预前2组间HAMA、HAMD、WHOQOL-BREF评分比较无显著差异;干预后实验组各量表评分改善程度显著优于对照组(P<0.05)。结论多系统萎缩照料者存在焦虑、抑郁情绪,同时存在生活质量较差等的问题。综合心理护理干预可有效改善照料者的心理状况,提高其生活质量。

Objective To investigate the psychological status and quality of life of multi system atrophy caregivers,and to intervene to alleviate their anxiety,depression and improve their quality of life. Methods Forty multiple system atrophy caregivers were randomly divided into the experimental group (20 cases) and the control group (20 cases).Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD) were used to evaluate the psychological status of the two groups.The quality of life of the two groups was assessed using the WHO quality of life measurement scale (WHOQOL-BREF) in Chinese.The control group was given routine nursing guidance,and the experimental group was given comprehensive psychological nursing intervention on this basis.Three months later,the intervention effect was still evaluated with the above scale. Results The positive rate of anxiety and depression before intervention was 60%.There was no significant difference in HAMA,HAMD and WHOQOL-BREF scores between the two groups before intervention.After intervention,the improvement of scale scores in the experimental group was significantly better than that in the control group ( P <0.05). Conclusion Multiple system atrophy caregivers have anxiety,depression,poor quality of life and other problems.Comprehensive psychological nursing intervention can effectively improve the psychological status of caregivers and improve their quality of life.