综合护理干预对64例焦虑症空巢老人生活质量的影响

目的：探讨综合护理干预对患有焦虑症的社区空巢老人生活质量的影响。方法根据汉密顿焦虑量表和医院焦虑抑郁量表（HAD）进行所选病例的焦虑评定，并分别于综合护理前以及护理后7、28 d后进行焦虑状态和生活质量情况的评定。结果患有焦虑症的空巢老人产生焦虑症的主要因素是患有慢性疾病、社交能力差、和经济状况差，位于所有因素的前三位，分别占78．13％、71．88％和59．38％。其次，文化程度较低、性格孤僻、无兴趣爱好和无固定收入也是患有焦虑症的主要因素。与干预前比较，两组患者在干预后7 d和干预后28 d的汉密顿焦虑量表（HAMA）评分和HAD-A评分均减少，差异有统计学意义（P＜0．05）。与干预前比较，干预后7 d和干预后28 d患者的生活质量在躯体、心理、社会、物质、情感、精神等方面均得到好转，生活质量评分逐渐提高，差异有统计学意义（P＜0．05）。结论综合护理干预对减轻空巢老年人焦虑症症状，提高生活质量有重要作用。

Influence of comprehensive nursing intervention on life quality of 64 cases of empty nester patients with anxiety disorder

Objective To explore the effect of comprehensive nursing intervention on life quality of the empty nester with anxiety disorders .Methods According to the Hamilton Anxiety Scale and the hospital anxiety and Depression Scale（HAD） for anxiety rating of the selected cases ,and anxiety and quality of life were assessment before nursing and after nursing ,28 d and 7 d .Results The main factors of patients with anxiety empty nester anxiety disorders are chronic diseases ,social ability ,and the economic situation is bad ,all factors in the top three ,accounted for 78 .13% ,71 .88% and 59 .38% .Secondly ,low education ,withdrawn ,no interest main factors and non fixed income is also suffering from anxiety .Compared with before treatment ,two patients in group 7 d and 28 d after the intervention the intervention of HAMA score and HAD-A score were lower ,the difference was statistically significant（P〈0 .05） . Compared with before intervention ,intervention after 7 d and 28 d ,patients quality of life in the physical ,psychological ,social ,physical ,emotional ,mental and so on have been improved ,quality of life score gradually increased ,the difference was statistically significant （P〈0 .05） .Conclusion The comprehensive nursing intervention on reducing the empty nester anxiety symptoms ,has been an important role to improve the quality of life .