充血性心力衰竭病人抑郁状态调查及焦点式心理护理

目的 了解充血性心力衰竭(CHF)病人的抑郁状态,探讨实施焦点式心理护理的效果。方法 对171例住院CHF 病人行抑郁量表(CES-D)调查,发现67例(39.2％)存在不同程度的抑郁状态。按自愿入组的原则将62例分为两组,对照组(30例)行常规护理及入院时简要心理护理,观察组(32例)在此基础上行焦点式心理护理。结果 护理14 d后 CES-D评分观察组显著低于对照蛆(P<0.01),临床症状缓解程度观察组高于干预前和同期对照组。结论CHF病人抑郁状态发生率较高,必须予以高度重视;焦点式心理护理可有效减轻CHF病人抑郁状态,利于CHF的治疗与康复。

Investigation of Depressive State in the Patients with Congestive Heart Failure and Focus Psychological Nursing

Objective To explore the efficacy of focus psychological nursing on the improvement of depressive state in the patients with congestive heart failure (CHF). Methods One hundred and seventy-one patients suffering from CHF were enrolled and accepted the investigation of CES-D. Among them, 67 patients (39. 2%) were confirmed to have depression. Then, 62 patients with depression were divided into two groups according to their own will. Thirty patients in the control group received routine and simple psychological nursing, and the remaining 32 patients in the observation group were subjected to focus psychological nursing on the basis of above measures. Results After nursing care for 14 days, grades of CES-D were substantially lower in the observation group than in the control group (P<0. 01). In addition, remission extent of clinical symptoms was more satisfactory in the observation group than in the control group and before intervention. Conclusion The incidence of depressive states is high and focus psychological nursing contributes to relieve depression in patients with CHF.