综合护理干预方式对改善类风湿关节炎患者焦虑及抑郁状态的影响

目的探讨综合干预护理方式对改善类风湿关节炎患者焦虑及抑郁状态的有效性。方法将60例人住南京市六合区人民医院的类风湿关节炎患者按就诊顺序分为干预组和对照组，每组各30例。对照组给予常规护理；干预组在常规护理的基础上实施综合干预，包括建立患者个人康复档案，针对患者情况进行集体健康教育，个别心理十预，指导进行关节功能锻炼以及娱乐疗法等。两组在十预前后分别应用Zung自评抑郁量表（SDS）和自评焦虑量表（SAS）评定患者情绪，并比较护理十预前后的分值。结果与国内常模SDS：（33．46±8．55）分，SAS：（29．78±10．07）分1相比，本研究患者SDS（44．35±4．11）分1、SAS得分（42．68±3．46）分1较高，差异有高度统计学意义（P〈0．01），说明本组患者存在明显的抑郁及焦虑心理。干预组干预后患者的SDS（36．12±3．62）分]、SAS得分（34．07±4．74）分]明显低于对照组SDS：（43．15±3．76）分，SAS：（41．62±3．65）分1，差异有高度统计学意义（P〈0．01），说明干预组患者焦虑及抑郁状态改善。结论对类风湿关节炎患者实施综合干预能有效改善其焦虑抑郁心理，对提高生命质量有积极作用。

Influence of comprehensive intervention on improving anxiety and depression status in patients with rheumatoid arthritis

Objective To explore the effects of comprehensive intervention on improving anxiety and depression status in patients with rheumatoid arthritis. Methods 60 cases of patients with rheumatoid arthritis in people＇s hospital of Luhe Dis- trict in Nanjing City were randomly divided into the control group （n = 30） and the interventional group （n = 30） according to the admission order. General nursing care was given to the control group, while the interventional group was treated with comprehensive intervention, including establishment of patients recover personal files, collective health education, individual psychological intervention, guidance for joint function exercise and entertainment therapy, on the basis of the general nurs- ing. Before and after intervention, patients＇ emotions were assessed with SDS and SAS, then the scores were compared. Results Compared with domestic routine model SDS：（33.46±8.55） scores, SAS：（29.78±10.07） scores, scores of SDS （44.35±4.11） scores and SAS （42.68±3.46） scores in patients with rheumatoid arthritis in this study were higher, the differenees were statistically significant （P 〈 0.01）, which indicated that there was obvious depression and anxiety among rheumatoid arthritis patients. After intervention, scores of SDS （36.12±3.62） scores and SAS （34.07±4.74） seores in pa- tients of the interventional group were lower than those in patients of the control group SDS：（43.15±3.76） scores, SAS： （41.62±3.65） scores, the differences were statistically significant （P 〈 0.01）, which indicated that patients＇ anxiety and de pression status improved in the intervention group. Conclusion Comprehensive intervention can effectively improve the anxiety and depression psychology of patients with rheumatoid arthritis, which also has positive eftct in improving the quality of life.