心理护理干预对改善老年肺栓塞患者抑郁状态及生活质量的效果分析

目的 分析心理护理干预对改善老年肺栓塞患者抑郁状态及生活质量的效果。方法 选择2006年12月至2013年12月我院诊断160例老年肺栓塞疾病患者。以数字法随机分成观察组80例和对照组80例。对两组老年患者均给予药物治疗以及抗抑郁药物治疗。观察组在药物治疗的基础上进行心理护理干预;对照组在药物治疗期间采取常规护理。对比两组患者抑郁状态、生活质量以及护理满意程度。结果 HAMD量表评定对比,观察组第2周、第4周、第6周评分分别为29.16±3.56,16.35±2.63,5.46±2.23,均低于对照组,P〈0.05。提示心理护理干预可使患者抑郁状况显著减轻。SF-36评分对比,观察组生理机能90.45±4.18,生理职能61.21±22.21,躯体疼痛77.31±8.11,一般健康状况58.34±8.91,精力66.21±12.31,精神健康71.12±8.13,均高于对照组,P〈0.05,提示对老年肺栓塞患者进行心理护理干预后,生活质量有明显改善。观察组满意率显著高于对照组,满意率高出23.75%。说明相对于传统护理方法,患者更加喜欢心理护理干预。P〈0.05。结论 老年肺栓塞患者在药物治疗期间给予心理护理干预,能够改善患者的抑郁状态和生活质量,让患者建立自信,值得临床推荐。

Analysis of psychological nursing intervention to improve the quality of life and depressive state in elderly patients with pulmonary embolism

Objective To study the effect of psychological nursing intervention to improve the quality of life and depressive state in elderly patients with pulmonary embolism. Methods From 2006 December to 2013 December in our hospital, a total of 160 cases of patients were diagnosed with the disease of elderly pulmonary embolism. The figures were randomly divided into observation group （80 cases） and control group （80 cases ）. elderly patients in two groups were given drug therapy and antidepressant treatment. The observation group on the basis of drug treatment, psychological nursing intervention on patients ; patients in the control group received routine nursing care during drug therapy. Compared two groups of patients with depressive state, quality of life and nursing satisfaction. Results Comparative observation of HAMD quantity table group, Second weeks was 29.16 ± 3.56, fourth weeks was 16.35 ± 2.63, sixth weeks was 5.46 ± 2.23, prompt psychological nursing intervention can significantly reduce the depression patients. The SF-36 score comparison, the observation group ： The physiological function of 90.45 ± 4.18, physiological functions of 61.21 ± 22.21 ,Somatic pain 77.31 ± 8.11, general health status of 58.34 ± 8.91, energy 66.21 ± 12.31, mental health of 71.12 ± 8.13, were higher than the control group, the differences were statistically significant （P 〈 0.05 ）. Tips for elderly patients with pulmonary embolism were psychological nursing intervention, quality of life has improved significantly. The observation group satisfaction rate was significantly higher than the control group, high satisfaction rate of 23.75%. That compared with the traditional nursing method, were more like the psychological nursing intervention. P 〈 0. 05. Conclusions Elderly patients with pulmonary embolism by psychological nursing intervention in drug treatment, can improve the quality of life of patients depressive state, help patients to build confidence, worthy of recommendation.