摘要
目的 研究一对一心理疏导结合健康教育指导对老年功能性消化不良伴焦虑抑郁症状患者的影响。方法选择2019年11月—2020年10月在中国人民解放军陆军第七十三集团军医院接受治疗的74例老年功能性消化不良伴焦虑抑郁症状患者为此次研究对象,依据其入院编号单双数将其分成对照组(单数,n=37)和观察组(双数,n=37)。对照组采用常规护理,观察组在常规护理基础上采用一对一心理疏导结合健康教育指导,对比2组干预前及干预2个月后的疾病认知度、焦虑抑郁症状改善情况[汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表17项版(HAMD-17)评分]、生活质量综合评定问卷(GQOLI-74)得分。结果 干预2个月后,2组患者疾病认知度评分均有提高,且观察组疾病认知度评分较对照组高(P<0.05);干预2个月后,2组焦虑抑郁症状均有明显改善,且观察组焦虑抑郁症状评分较对照组低(P<0.05);干预2个月后2组GQOLI-74得分均有升高,且观察组GQOLI-74得分高于对照组(P<0.05)。结论 对老年功能性消化不良伴焦虑抑郁症状患者采用一对一心理疏导结合健康指导,可提升其疾病认知程度,改善焦虑、抑郁症状,对提高患者整体生活质量有积极作用。
Objective To study the effect of one-on-one psychological counseling combined with health education guidance on elderly patients with functional dyspepsia with anxiety and depression symptoms.Methods Select 74 elderly patients with functional dyspepsia with anxiety and depression symptoms who were treated in our hospital from November 2019 to October 2020 as the subjects of this study.According to their admission numbers,they were divided into control groups(odd and odd numbers,n=37)and observation group(even number,n=37).The control group received routine nursing care,and the observation group performed one-to-one psychological counseling combined with health education guidance on the basis of routine nursing.The improvement of disease awareness,anxiety and depression symptoms of the two groups before and 2 months after the intervention was compared[Hamilton Anxiety Scale(HAMA)score,Hamilton Depression Inventory 17-item version(HAMD-17)score],Comprehensive Quality of Life Assessment Questionnaire(GQOLI-74)score.Results After 2 months of intervention,the disease awareness scores of the two groups were improved,and the disease awareness scores of the observation group were higher than those of the control group(P<0.05);After 2 months of intervention,the anxiety and depression symptoms of the two groups were significantly improved,and the score of anxiety and depression symptoms of the observation group was lower than that of the control group(P<0.05);The GQOLI-74 scores of the two groups increased,and the GQOLI-74 scores of the observation group were higher than those of the control group(P<0.05).Conclusion The use of one-on-one psychological counseling combined with health guidance for elderly patients with functional dyspepsia with anxiety and depression symptoms can promote the improvement of their disease awareness,help them improve their anxiety and depression symptoms,and improve the overall quality of life of the patients have a positive effect.
作者
徐倩静
Xu Qianjing(The 73rd Army Hospital of The Chinese People's Liberation Army,Xiamen,Fujian 361000)
出处
《基层医学论坛》
2022年第30期32-34,共3页
The Medical Forum
关键词
功能性消化不良
焦虑抑郁
一对一心理疏导
健康教育
生活质量
Functional dyspepsia
Anxiety and depression
Psychological counseling
Health education
Quality of life
