肺结核患者的心理调查与护理干预研究  

Investigation of mental health state and effectiveness of nursing intervention in pulmonary tuberculosis cases

作　　者：林奕[1] 李劲[1] 徐岩[1] 郑国琴[1] 刘君财[1] 麦衬娇[1] 张婕[1] 

机构地区：[1]深圳市东湖医院肺科,深圳518020

出　　处：《中国防痨杂志》2007年第4期306-309,共4页Chinese Journal of Antituberculosis

摘　　要：目的了解肺结核患者的心理状况,探索护理干预的影响。方法采用抑郁自评量表(SDS)、焦虑自评量表(SAS)对200例肺结核患者进行心理评分,将200例患者随机分成观察组、对照组。对照组仅做常规的治疗护理,观察组增加了心理护理及系统的健康教育。评定与比较2组患者的SDSS、AS分值。结果肺结核患者SDS、SAS评分与全国常模比较有显著性差异。干预后观察组与对照组比较SDS、SAS评分有显著性差异(P<0.01)。结论肺结核患者易出现心理障碍。护理干预可缓解或明显减轻患者的不良情绪,提高其自理能力,从而提高临床疗效。Objective To study the mental health of patients with pulmonary tuberculosis （PTB） and the effectiveness of nursing intervention in PTB. Methods 200 PTBs were examined by self-rating depression scale （SDS） ,self-rating anxiety seale（SAS）. They were randomly divided into observation group （added complete health education, psychological intervention）and control group（only conventional therapy and nursing care）. All the patients in the two groups were evaluated by using SDS, SAS respectively. Results The scores of SDS and SAS in PTBs were significantly higher than that of standard model, and the scores in observation group were significantly lower than those of control group （ P 〈 0.01 ）. Conclusion PTBs are frequently with psychological. Complete nursing intervention can obviously reduce the psychological disorders of PTBs improve their ability of self-care and clinical treatment effectiveness.

关 键 词：结核 肺 心理 健康教育 抑郁自评量表 焦虑自评量表 

分 类 号：R473.5[医药卫生—护理学]