循证护理对有生育要求的异位妊娠患者抑郁和生活质量的影响

目的比较常规护理和循证护理对有生育要求的异位妊娠患者抑郁和生活质量的影响。方法选取2010年1月～2012年1月在徐州医学院附属淮安医院接受常规护理的异位妊娠患者13例和接受循证护理的异位妊娠患者13例，采用Spitzer评分和Karnofsky评分检测患者生活质量；采用汉密顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）、抑郁自评量表（SDS）、焦虑自评量表（SAS）检测患者焦虑、抑郁程度。结果循证护理组患者Spitzer评分总分、Kamofsky评分、Spitzer评分中的精神和支持分值均高于常规护理组。两组比较差异有统计学意义（均P〈0．05）；循证护理组患者的HAMD、HAMA、SDS、SAS评分均低于常规护理组，两组比较差异有统计学意义（P〈0．05）。结论循证护理对改善患者生活质量、减轻抑郁症状的作用优于常规护理。

Effect of evidence-based care on depression and quality of life of extrauterine pregnancy with fertility requirements

Objective To compare the effects of evidence-based care and routine care on depression and quality of life of extrauterine pregnancy with fertility requirements. Methods 13 cases of patients with extrauterine pregnancy who were provided evidence-based care and 13 cases of patients with extrauterine pregnancy who were provided routine care were selected in Huai＇an hospital affiliated to Xuzhou medical college from January 2010 to January 2012. Karnofsky score and Spitzer score were used to detect patients＂ quality of life. HAMD, HAMA, SAS and SDS were used to detect patients＇ anxiety and depression. Results Karnofsky scores, Spitzer total scores, silt of Spitzer scores and support of Spitzer scores in the evidence-based care group were significant higher than those in the routine care group （P 〈 0.05）. However, the scores of SAS, SDS, HAMA and HAMD in the evidence-based care group were remarkably lower than those in the routine care group （P 〈 0.05）. Conclusion The effects of evidence-based care on improving quality of life and reducing depressive symptoms are superior to routine care.