自我管理训练对焦虑症患者病情治疗依从性及生活质量的影响  

Effect of Self-management on Disease, Compliance and Life Quality for Patients with Anxiety

作　　者：彭芙蓉[1] 冯杰[1] 熊桂芬[1] 袁金莲 李丽娟[1] 龚建荣[1] 

机构地区：[1]攀枝花市第三人民医院,四川攀枝花617061

出　　处：《护理学报》2010年第20期68-71,共4页Journal of Nursing（China）

摘　　要：目的讨论焦虑症患者自我管理训练对其病情、治疗依从性及生活质量的影响。方法将临床出院的124例首发焦虑症患者随机分为对照组(62例)和干预组(62例),出院后两组均给予抗焦虑药物维持治疗和常规健康教育,干预组则在此基础上增加自我管理训练。采用汉密尔顿焦虑量表、社会功能缺陷筛查量表、健康状况问卷、自设一般资料表和治疗依从性调查表,分别对两组患者入组时、入组后3个月、6个月、12个月进行调查。结果入组3个月、6个月、12个月时,干预组的汉密尔顿焦虑量表总分和社会功能缺陷筛查量表总分低于对照组(P<0.05);入组12个月时,干预组的治疗依从性高于对照组(P<0.01),且干预组的躯体健康、精神健康因子得分高于对照组(P<0.01)。结论自我管理训练对稳定焦虑症患者病情,提高治疗依从性及改善生活质量有积极作用。Objective To discuss the effect of self-management on disease,compliance and life quality for patients with anxiety.Methods 124 discharged patients with anxiety were randomly divided into control group（n=62） and intervention group（n=62）.Antianxiety agents and health education were provided in two groups.While in intervention group,self-management training was added.Hamilton Anxiety Rating Scale,Social Disability Screening Schedule,12-item short form health survey questionnaire,self-designed questionnaire of treatment compliance were applied to analyze data collected at the first time of the investigation,the third month,the sixth month and the twelfth month respectively.Results The total scores of Hamilton Anxiety Rating Scale and Social Disability Screening Schedule in intervention group were lower than those in control group（P0.05）;at the twelfth month,the treatment compliance of patients from intervention group was better than those from control group（P0.01）.The scores of physical health factor and mental health factor of the intervention group were higher than those of the control group（P0.01）.Conclusion Self-management training plays a positive part in the aspects of stabilizing disease,improving treatment compliance and improving life quality.

关 键 词：焦虑症 自我管理 健康教育 遵医嘱性 生活质量 

分 类 号：R395.6[哲学宗教—心理学]