摘要
目的探讨个体化的心理护理干预对艾滋病孕产妇焦虑、抑郁状态的影响。方法将50例艾滋病孕产妇随机分为治疗组(25例)和对照组(25例),对照组进行常规心理护理,治疗组采取个体化的心理护理干预。心理护理前、后均采用Zung氏焦虑自评量表(SAS)和抑郁自评量表(SDS)对所有患者进行评估。结果艾滋病孕产妇在心理护理前,其焦虑、抑郁评分分别为55.14和48.27,显著高于测验常模(t=8.994、3.052,P均<0.05)。确诊时间<1年的艾滋病孕产妇,其焦虑、抑郁评分分别为68.76和56.33,显著高于确诊时间≥1年的患者(t=10.315、3.672,P均<0.05)。经不同的心理护理干预后,治疗组的焦虑及抑郁评分均较对照组显著下降(t=-4.279、-2.918,P均<0.05)。结论艾滋病孕产妇焦虑和抑郁状态较明显,且与艾滋病的确诊时间相关,采取个体化的心理护理干预措施可明显缓解焦虑和抑郁状态,增加患者对治疗的依从性,有利于患者早日康复。
Objective To explore the effects of individual psychological nursing intervention on the anxiety and depression of pregnant women with AIDS. Methods Total of 50 cases of pregnant women with AIDS were randomly divided into the control group （25 cases） and the observation group （25 cases）. The control group was given routine psychological nursing, while the experimental group adopted individual psychological nursing. The two groups of patients before and after the intervention were assessed by Zung’s self rating anxiety scale （SAS） and self rating depression scale （SDS）. Results The SAS and SDS scores of the experimental group were 55.14 and 48.27 before psychological nursing, which were signiifcantly higher than normal ones （t=8.994 and 3.052, P all〈0.05）. The SAS and SDS scores of the pregnant women with AIDS diagnosed within one year were 68.76 and 56.33, signiifcantly higher than those diagnosed exceeding one year （t=10.315 and 3.672, P all〈0.05）. After individual psychological nursing intervention, the SAS and SDS scores of the experimental group were significantly lower than the control group （t =-4.279 and -2.918, P all 〈 0.05）. Conclusions There were obviations anxiety and depression with pregnant women with AIDS, which related to AIDS diagnosis time. Individual psychological nursing intervention could signiifcantly relieve these patients’ anxiety and depression, enhance the patients’ compliance, and help for the patient’s recovery.
出处
《中华实验和临床感染病杂志（电子版）》
CAS
2015年第4期77-80,共4页
Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)
基金
四川省卫生厅科研项目(No.110076)
关键词
心理护理干预
艾滋病
孕产妇
焦虑
抑郁
Psychological nursing intervention
Acquired immunodeficiency syndrome
Pregnant women
Anxiety
Depression
