摘要
目的探讨焦虑抑郁共病社会心理因素以及层级护理对患者社会心理方面的干预效果。方法选择2016年11月至2019年5月收治的焦虑抑郁共病患者89例作为研究对象,将所有研究对象按照随机数字表法分为对照组(n=44)和观察组(n=45)。对照组接受常规护理方法,观察组接受层级护理干预,对比2组患者在干预后的各项社会心理因素指标差异。结果在生活事件方面,观察组患者负性事件(2.22±0.51)、恶性事件频度(0.21±0.18)、中性事件频度(0.35±0.22)、生活事件频度(0.56±0.28)均低于对照组,2组患者在社会支持评定量表的比较中显示,观察组社会支持总分(38.17±1.88)、客观支持总分(8.77±0.67)、主观支持总分(22.44±0.54)、利用度(7.19±0.41)均优于对照组(P<0.05)。观察组家庭环境各维度评分均优于对照组,但是,在亲密度、矛盾性、独立性、娱乐性、组织性指标方面,观察组与对照组的组间差异有统计学意义(P<0.05),其他方面无统计学差异(P>0.05)。防御机制问卷调查结果显示,组间差异无统计学意义(P>0.05)。在艾森克个性问卷方面,观察组患者在精神质、内外向、掩饰程度方面评分高于对照组,在神经质方面的评分低于对照组(P<0.05)。结论层级护理的实施,能够满足患者的个性化需求,为患者解决实际问题,使得患者各项社会心理指标改善,有效促进患者临床治疗效果的提升。
Objective To investigate the effects of social psychic factors on the anxiety and depression comorbidity and the intervention effects of hierarchical nursing effects.Methods A total of 89 patients with anxiety and depression comorbidity who were admitted and treated in our hospital from November 2016 to May 2019 were enrolled in the study,who were divided into control group(n=44)and observation group according to random number table method.The patients in control group were treated by routine nursing method,however,the patients in observation group were treated by hierarchical nursing intervention.After treatment the differences of social psychic factors indexes were observed and compared between the two groups.Results In the aspects of life events,the negative events(2.22±0.51),the frequency of malignant events(0.21±0.18),the frequency of neutral events(0.35±0.22),and the frequency of life events(0.56±0.28)were observed in observation group,which were lower than those in control group.The social support rating scale showed that social support total score(38.17±1.88),objective support total score(8.77±0.67),subjective support total score(22.44±0.54)and the utilization rate(7.19±0.41)in observation group were superior to those in control group(P<0.05),and the scores of the family environment in observation group were significantly higher r than those in control group.However there were no significant differences in the intimacy,contradiction,independence,entertainment,and tissue index between the two groups(P<0.05).The results of the defense mechanism questionnaire showed that there were no significant differences between the two groups(P>0.05).In the aspects of Eysenck personality questionnaire,the scores of psychoticism,internal and external direction,and disguise degree in observation group were significantly lower than those in control group,but the neuroticism scores were significantly lower than those in control group,(P<0.05).Conclusion The implementation of hierarchical nursing can meet the individual needs of patients,solve practical problems for patients,improve the social and psychological indexes of patients,and effectively improve the clinical curative effects.
作者
李德海
侯玉玲
贺海玉
冯升
LI Dehai;HOU Yuling;HE Haiyu(Jiulongshan Hospital of Qinhuangdao City,Hebei,Qinhuangdao 066000,China)
出处
《河北医药》
CAS
2020年第4期635-637,共3页
Hebei Medical Journal
关键词
焦虑抑郁共病
社会心理因素
层级护理
干预效果
anxiety and depression comorbidity
social psychic factors
hierarchical nursing
intervention effect
