心理护理对心房颤动患者焦虑抑郁和希望水平的影响

The effect of on anxiety and depression and hope level in patients with atrial fibrillation

目的探讨持续心理护理对心房颤动(房颤)患者焦虑抑郁和希望水平的影响。方法选取2015年7月至2017年6月来我科住院治疗的36例房颤患者,通过随机数表法将36例房颤患者分为对照组18例和观察组18例。对照组患者给予心内科房颤患者疾病护理常规。观察组在对照组的基础上,给予患者入院、术前、术后及出院持续的个性化心理护理。采用汉密尔顿焦虑量表、抑郁量表及Herth希望量表来比较两组患者干预前后焦虑、抑郁及希望水平的状况。结果干预前两组患者汉密尔顿焦虑量表评分及抑郁量表评分比较,差异均无统计学意义(均P>0.05)。干预后观察组汉密尔顿焦虑量表评分[(45.33±3.77)分比(54.61±3.16)分,P <0.001]及汉密尔顿抑郁量表评分[(0.46±0.35)分比(0.55±0.04)分,P <0.001]显著低于对照组,差异均有统计学意义。干预前两组患者Herth希望量表评分比较,差异均无统计学意义(均P>0.05)。干预后观察组Herth希望量表评分中与他人保存亲密关系[(10.50±3.54)分比(7.89±1.75)分,P=0.010],采取积极行为[(10.22±2.80)分比(7.00±1.88)分,P <0.001],对现实及未来的积极态度[(11.28±3.01)分比(7.67±2.80)分,P <0.001],总评分[(32.00±1.70)分比(22.56±4.10)分,P <0.001]显著高于对照组,差异均有统计学意义。结论持续心理护理可以改善房颤患者焦虑抑郁情绪,提高患者的希望水平,有利于患者疾病的治疗及康复。

Objective To explore the effect of sustained psychological nursing on anxiety,depression and hope level in patients with atrial fibrillation.Methods 36 patients with atrial fibrillation who were hospitalized in my department from July 2015 to June 2017 were selected,and they were divided into 18 cases in the observation group and 18 cases in the control group by random table method.Patients in the control group was given routine nursing group of atrial fibrillation,and in addition to the basis of the condition of the control group,we gave patients hospitalizing,preoperative and postoperative continuous discharge of personalized psychological nursing with Hamilton anxiety scale and Hamilton depression scale and the Herth hope scale,in order to compare two groups of patients level of anxiety,depression and hope before or after the intervention.Results Comparing two groups of patients with Hamilton anxiety scale scores and depression scale score before the intervention,there were no statistically significant difference(P >0.05).We found Hamilton anxiety rating scale in the observation group(45.33±3.77)significant lower than it in the control group(54.61±3.16),and Hamilton depression rating scale in the observation group(0.46±0.35)significant lower than it in the control group(0.55±0.04),which differences were statistically significant(P <0.001).Comparing in two groups of patients with the Herth hope rating scale before the intervention,there were no statistically significant difference(P >0.05).We found keeping close relationships with others in Herth hope rating scale in the observation group(10.50±3.54)higher than in the control group(7.89±1.75),(P =0.010),taking positive action in Herth hope rating scale in the observation group(10.22±2.80)higher than in the control group(7.00±1.88),(P <0.001),and positive attitude towards the reality and future in Herth hope rating scale in the observation group(11.28±3.01)higher than in the control group(7.67±2.80),(P <0.001),but total score in the observation group(32.00±1.70)is higher than in the control group(22.56±4.10),(P <0.001)significantly,and the difference had statistical significance.Conclusion Continuous psychological nursing can improve anxiety and depression in patients with atrial fibrillation,improve the patient′s hope level,and contribute to the treatment and recovery of patients′diseases.