摘要
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 analysis the comprehensive psychological intervention for psychiatlic patient＇s emotional state and the influence of the quality of life. Methods 152 cases of psychiatric patients from January 2013 to January 2015 were selected and randomly divided into control group and observation group（n=76）. The patients in control group were treated with routine nursing measures, while the patients in observation group were treated with comprehensive psychological intervention on the basis of control group. The scores of self-rating depression scale（SDS）and self-rating anxiety scale（SAS）and nurses＇ observation scale for inpatient evaluation（NOSIE） and SF-36 were recorded and compared.Measurement data between groups was prossed by t test,in group was processed by paired t test,P〈0.05 was considered statitically significant. Results After the intervention, the SDS and SAS score of observation group were （37.9 ± 6.7）,（38.2 ± 9.1） points, in the control group were （46.7 ± 8.9）,（46.2 ± 7.6）points, the differences were statistically significant（all P〈0.05）.The NOSIE total score, total negative factors, total positive factors of observation group were （162.54 ± 9.44）, （12.32 ± 3.78）, （82.44 ± 3.74）points, and in the control group were （155.25 ± 8.20）, （22.25 ± 3.92）, （66.13 ± 3.76）points, the differences were statistically significant （all P〈0.05）.The overall health, physiological function, physiological functions, physical pain, vitality, social function, emotional function, mental health score of SF-36 scale of observation group were （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）points, higher than that in the control group [（72.45 ± 8.23）,（72.12 ± 8189）,（72.86 ± 9.58）,（73.44 ± 8.51）,（70.17 ± 8.24）,（72.41 ± 8.74）, （72.15 ± 8.78）,（70.48 ± 9.26）points], the differences were statistical
出处
《社区医学杂志》
2015年第23期24-27,共4页
Journal Of Community Medicine
关键词
精神病
综合性心理干预
情绪
生活质量
Psychosis
Comprehensive psychological intervention
Emotion
The quality of life
