中医情志护理对血管性痴呆患者焦虑及抑郁情绪的影响

Effect of Emotional Nursing of Chinese Medicine on Anxiety and Depression Emotions in Patients with Vascular Dementia

目的:探究中医情志护理对血管性痴呆患者焦虑及抑郁情绪的影响。方法:将84例血管性痴呆患者,按随机数字表法分成2组,对照组42例给予常规护理;观察组42例给予常规护理联合中医情志护理。评估2组护理前后简明精神状态量表(MMSE)、日常生活能力评定量表(ADL)、长谷川痴呆量表(HDS)、痴呆严重程度临床评定表(WMS)、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分的变化情况。结果:2组护理后MMSE评分均较前升高(P<0.05),观察组护理后MMSE评分与对照组相比明显升高,差异有统计学意义(P<0.05)。护理后,2组ADL、HDS、WMS较前改善(P<0.05)。观察组护理后ADL、HDS、WMS较对照组改善更明显,差异有统计学意义(P<0.05)。护理后,2组SAS、SDS较前改善(P<0.05)。观察组护理后SAS、SDS与对照组比较,差异有统计学意义(P<0.05)。结论:中医情志护理能有效缓解血管性痴呆患者焦虑和抑郁情绪,加速神经功能恢复,提高生活自理能力,临床效果显著。

Objective:To discuss the effect of emotional nursing of Chinese medicine on anxiety and depression emotions in patients with vascular dementia. Methods:A total of 84 cases of patients with vascular dementia were divided into two groups according to the random number table method,42 cases in each group. The control group was given routine nursing,and the observation group was additionally given emotional nursing of Chinese medicine based on the nursing of the control group. Before and after nursing,the changes in scores of Mini-Mental State Examination(MMSE),Activity of Daily Living(ADL),Hastgawa Dementia Scale(HDS),Wechsler Memory Scale(WMS),Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS) were compared between the two groups. Results: After nursing, the MMSE scores in the two groups were increased when compared with those before nursing(P<0.05), and the score in the observation group was significantly increased when compared with that in the control group, the difference being significant(P<0.05). After nursing,the scores of ADL,HDS and WMS in the two groups were improved when compared with those before nursing(P<0.05). After nursing,the scores of ADL,HDS and WMS in the observation group were improved more obvious when compared with that in the control group,the difference being significant(P<0.05). After nursing,the scores of SAS and SDS in the two groups were improved when compared with those before nursing(P<0.05), and the above two scores in the observation group were significantly improved when compared with those in the control group,the difference being significant(P<0.05).Conclusion:Emotional nursing of Chinese medicine for patients with vascular dementia can effectively relieve their anxiety and depression emotions,promote the recovery of nerve function,and improve self-care ability,with significant clinical effect.