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目的分析综合性心理干预措施对精神病患者情绪状态及生活质量的影响。方法选取2013年1月—2015年1月收治的152例精神病患者作为研究对象,随机分为对照组和观察组各76例。对照组采取常规护理措施,观察组在对照组的基础上施加综合性心理干预。采用抑郁情绪自评量表(self-rating depression scale,SDS)和焦虑情绪自评量表(self-rating anxiety scale,SAS)及护士用住院病人观察量表(nurses’observation scale for inpatient evaluation,NOSIE)评定两组患者情绪,并采用SF-36简明生活质量量表评价患者生活质量。计量资料组间比较采用t检验,组内比较采用配对t检验,P<0.05为差异有统计学意义。结果干预后,观察组患者的SDS和SAS评分分别为(37.9±6.7)、(38.2±9.1)分,均低于对照组的(46.7±8.9)、(46.2±7.6)分,差异均有统计学意义(均P<0.05)。观察组NOSIE总计得分、总消极因素、总积极因素得分分别为(162.54±9.44)、(12.32±3.78)、(82.44±3.74)分,与对照组的(155.25±8.20)、(22.25±3.92)、(66.13±3.76)分比较差异均有统计学意义(均P<0.05)。观察组SF-36量表总体健康、生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康得分分别为(78.25±8.13)、(76.45±8.56)、(76.21±9.43)、(77.31±8.01)、(74.25±8.72)、(76.35±8.21)、(76.31±8.96)、(74.58±9.35)分,均高于对照组的(72.45±8.23)、(72.12±8.89)、(72.86±9.58)、(73.44±8.51)、(70.17±8.24)、(72.41±8.74)、(72.15±8.78)、(70.48±9.26)分,差异均有统计学意义(均P<0.05)。结论综合性心理干预能够显著减轻精神病患者的焦虑抑郁情绪,改善患者的心理状况,提高患者的生存质量。
Objective To analyze the effect of comprehensive psychological intervention on the emotional status and quality of life of patients with mental disorders. Methods A total of 152 patients with psychosis who were admitted from January 2013 to January 2015 were randomly divided into control group and observation group of 76 patients. The control group to take conventional nursing measures, the observation group in the control group based on the application of comprehensive psychological intervention. Self-rating depression scale (SDS) and self-rating anxiety scale (SAS) and nurses’observation scale for inpatient evaluation (NOSIE ) Were used to assess the mood of both groups and the quality of life was evaluated using the SF-36 Concise Quality of Life Scale. Measurement data were compared between groups using t test, the group was compared using paired t test, P <0.05 for the difference was statistically significant. Results After intervention, SDS and SAS scores in the observation group were (37.9 ± 6.7) and (38.2 ± 9.1) points, respectively, which were lower than those in the control group (46.7 ± 8.9 and 46.2 ± 7.6) Significance (both P <0.05). The scores of total NOSIE score, total negative factors and total positive factors in the observation group were (162.54 ± 9.44), (12.32 ± 3.78) and (82.44 ± 3.74) points respectively, which were significantly lower than those in the control group (155.25 ± 8.20) and (22.25 ± 3.92) , (66.13 ± 3.76) points were statistically significant differences (all P <0.05). The scores of overall health, physical function, physical function, somatic pain, vitality, social function, emotional function and mental health in the observation group were (78.25 ± 8.13), (76.45 ± 8.56) and (76.21 ± 9.43), respectively Were significantly higher than those in the control group (77.31 ± 8.01), (74.25 ± 8.72), (76.35 ± 8.21), (76.31 ± 8.96) and (74.58 ± 9.35) points respectively, which were significantly higher than those in the control group (72.45 ± 8.23, 72.12 ± 8.89, 72.86 ± 9.58), (73.44 ± 8.51), (70.17 ± 8.24), (72.41 ± 8.74), (72.15 ± 8.78) and (70.48 ± 9.26) respectively. There were significant differences between the two groups (all P <0.05). Conclusion Comprehensive psychological intervention can significantly alleviate the anxiety and depression of mental patients, improve the psychological status of patients and improve the quality of life of patients.