神经内科住院患者负性情绪的影响因素及对临床效果的影响

Related factors of negative emotion in hospitalized patients with neurology and its effect on clinical outcomes

目的 分析神经内科住院患者负性情绪的相关影响因素,及其对临床治疗效果的影响。方法 选取南阳市第一人民医院2015-06—2016-06住院治疗的113例神经内科患者为研究对象,采用汉密尔顿焦虑量表、汉密尔顿抑郁量表、日常生活能力评分对所有患者的负性情绪进行评价。根据患者有无负性情绪分为A组(有负性情绪,n=69)和B组(无负性情绪,n=44),2组均接受常规药物治疗,对2组临床治疗效果进行对比,并对影响神经内科住院患者负性情绪的相关因素进行分析。结果 B组临床治疗有效率95.45%,明显优于A组的85.51%(P<0.05);B组并发症发生率、住院时间与A组相比差异有统计学意义(P<0.05)。影响神经内科住院患者负性情绪主要包括社会支持、经济条件、日常生活能力、睡眠等。结论 社会支持、经济条件、日常生活能力、睡眠质量均会造成神经内科住院患者产生负性情绪,伴负性情绪患者的治疗有效率低、并发症发生率高、住院时间长。针对此种情况,需加强对神经内科住院患者的心理干预,以缓解患者的负面情绪,提高治疗依从性,缩短疾病康复时间和住院时间。

Objective To analyze the related influencing factors of negative emotion in hospitalized patients with neurology and its effect on clinical treatment. Methods A total of 113 neurological patients hospitalized in the First People's Hospital of Nanyang City from June 2015 to June 2016 were selected as subjects.The Hamilton Anxiety Scale,Hamilton Depression Scale and Daily Living Ability Score were used to evaluate the negative emotions of all patients.Evaluation.According to the patient's negative emotions,they were divided into group A (negative emotion, n =69) and group B (no negative emotion, n =44).Both groups received conventional drug treatment,and the two groups were treated with clinical treatment.Contrast and analyze the related factors that affect the negative emotions of neurological inpatients. Results The effective rate of clinical treatment in group B was 95.45%,which was significantly better than 85.51% in group A ( P <0.05).The incidence of complication and hospitalization in group B were significantly different from those in group A ( P <0.05).The negative emotions affecting inpatients in neurology mainly include social support,economic conditions,daily living ability,and sleep. Conclusion Social support,economic conditions,daily living ability,and sleep quality all cause negative emotions in hospitalized patients with neurology.Patients with negative emotions have low treatment efficiency,high complication rate,and long hospital stay.In view of this situation,it is necessary to strengthen the psychological nursing intervention for neurology inpatients to alleviate the negative emotions of patients,improve treatment compliance,and shorten the time of disease rehabilitation and hospitalization.