溃疡结肠炎患者心理状态调查及对策研究

目的探讨溃疡性结肠炎患者的心理状态及护理对策。方法选取溃疡性结肠炎患者72例作为观察组组,并选取同期健康志愿者70例作为对照组。请两组人员参与症状自评量表(SCL-90)、抑郁自评量表(SDS)、焦虑自评量表(SAS)、状态焦虑量表(SAI)和特质焦虑量表调查(TAI)。对溃疡性结肠炎患者实施针对性的心理护理,并于治疗结束时再次进行SCL-90问卷调查。结果观察组患者SCL-90量表除敌对以及精神性两项因子外评分均明显高于对照组;SDS、SAS、SAI、TAI4个量表观察组患者评分均明显高于对照组,两组比较差异有统计学意义(P﹤0.05);重度溃疡性结肠炎患者SDS、SAS、SAI以及TAI评分明显高于中度、轻度患者(P﹤0.05);中度与轻度患者之间比较差异无统计学意义(P﹥0.05);溃疡性结肠炎患者经过心理干预SCL-90量表评分及SDS、SAS、SAI、TAI评分较治疗前均有明显改善。干预前后比较差异有统计学意义(P﹤0.05)。结论溃疡性结肠炎患者普遍存在不良心理状况,对其实施针对性的护理可以有效改善其心理状态。

Investigation on the mental state and countermeasures for patients with ulcer colitis

OBJECTIVE To investigate the psychological state of patients with ulcerative colitis and nursing strategy. METHODS 72 cases of ulcerative colitis patients were chosen as a group of the observation group. 70 cases of healthy volunteers over the same period were chosen as the control group. The two groups were involved in symptom self-rating scale (SCL-90), the Self-Rating Depression Scale (SDS), anxiety self-rating scale (SAS), the State Anxiety Inventory (SAI) and Trait Anxiety Inventory (TAI). Targeted psychological care and SCL-90 questionnaire were taken for patients with ulcerative colitis again at the end of the treatment. RESULTS The patients of the SCL-90 scale were significantly higher than the control group in addition to the hostile and mental two factors. The scores of SDS, SAS, SAI and TAI four scale in the observation group were significantly higher than the control group. Compared between the two group, there was significant difference (P﹤0.05). The SDS and SAS, the SAI and TAI scores in the severe ulcerative colitis patients were significantly higher than moderate and mild patients (P﹤0.05) . Compared between the moderate and mild patients, the differences were not significant (P﹥0.05). The patients with ulcerative colitis showed significant improvement after psychological intervention, and the SCL-90 scale scores, SDS, SAS, SAI and TAI score were improved than those before treatment. There was significant difference before and after intervention (P﹤0.05). CONCLUSION Patients with ulcerative colitis have the prevalence of adverse psychological conditions, and the implementation of targeted care can improve their mental state effectively.