风湿病患者抑郁症状调查及护理干预  

Symptom survey of depression in rheumatisants and nursing care

作　　者：陈志琼[1] 贺吉林[1] 曹玉琼[2] 

机构地区：[1]四川省人民医院消化内科,四川成都610072 [2]四川省人民医院风湿内科,四川成都610072

出　　处：《实用医院临床杂志》2009年第1期100-101,共2页Practical Journal of Clinical Medicine

摘　　要：目的了解风湿病患者的抑郁状态,为针对性护理提供依据。方法选择住院的风湿病患者40例,用抑郁自评量表(SDS)及自制一般情况表进行问卷调查。结果具有抑郁临床表现19例(47.5%),与中国常模比较,t=13.717,P<0.001;其中,轻度抑郁15例,中度抑郁4例;抑郁症状依次为性兴趣减退、睡眠障碍、早上心情不好、做事困难、易倦、绝望、易激惹、兴趣丧失、思考困难、不安等;抑郁患者在家庭关系和对疾病的了解程度方面均低于非抑郁患者。结论风湿病患者存在一定程度的抑郁症状,护理过程中应关注患者的心理状态和情绪,尤其是对于家庭关系不好以及对疾病了解欠佳的患者。Objective To survey the incidence of depression in rheumatism patients and provide the basis for holistic nursing. Methods 40 patients with rheumatism were investigated. All of them were assessed by Hamilton Depression Rating Scale and self-designed questionaire form. Results The overall incidence rate was 47.5% （ 19 cases ）. It was significantly higher than normal controls （ t= 13.717 ,P 〈 0. 001 ）. Hyposexuality, dyssomnia, bad mood, difficulty in work-doing, tiredness, despair, irritability, hebetude, difficulty in thinking, unrest were common symptoms. Family relation and understanding of the disease in rheumatism depression group was poorer than those in non- depression group （ P 〈 0. 05 ）. Conclusion Patients with rheumatism have symptoms of depression to a certain extent. Nurses should pay close attention to their mental status and emotion in nursing process, especially for those with poor family relationship and understanding of the diseases.

关 键 词：风湿病 抑郁状态 护理干预 个性化护理 

分 类 号：R749.7[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]