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目的:探讨心理干预在高原列车急性高原病(AHAD)患者焦虑、忧郁等负性情绪中的应用效果。方法:选取由平原地区初次入藏在高原列车上根据国际高山医学会路易斯湖计分系统(LLSS)评分,有头痛且评分≥3分的诊断为急性高原病的患者86例,随机分为观察组和对照组各43例,两组患者在氧疗和药物治疗的同时给予常规护理干预,观察组在此基础上增加了心理干预,比较两组患者负性情绪焦虑和抑郁改变情况。结果:两组患者干预前焦虑、忧郁量表得分无差异(P>0.05),观察组经心理干预后焦虑、忧郁评分较干预前有明显改善(P<0.05),其评分也明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论:心理干预在高原列车上能够减少AHAD患者的负性情绪,改善其心理状况,增强治疗信心,改善预后效果,值得推广。
Objective: To investigate the effect of psychological intervention on the negative emotions such as anxiety and depression in patients with high altitude train acute altitude sickness (AHAD). Methods: Totally 86 patients diagnosed as acute altitude sickness with headache and score ≥3 were enrolled in the plateau train from the Plains region for the first time. According to the LLSS score, 86 cases were randomly divided into observation Group and control group of 43 cases, two groups of patients in the oxygen therapy and medication given routine nursing intervention, the observation group on the basis of increased psychological intervention to compare the two groups of patients with negative emotional anxiety and depression changes. Results: There was no significant difference in anxiety and depression scale scores between the two groups before intervention (P> 0.05). The scores of anxiety and depression in the observation group after psychological intervention were significantly improved (P <0.05), and their scores were significantly lower than those in the control Group, the difference between the two groups was statistically significant (P <0.05). Conclusion: Psychological intervention can reduce the negative emotions of AHAD patients, improve their psychological status, enhance the confidence of treatment and improve the prognosis of AHAD in high altitude trains, which is worthy of promotion.