心理干预在呼吸重症病房老年女性患者中的应用  

Psychological Intervention for the Elderly Female Patients in the Respiratory Intensive Care Unit

作　　者：冯思芳[1] 吴娟宁[1] 权红利 张兰[1] 

机构地区：[1]西安交通大学医学院第一附属医院呼吸与危重症医学科,陕西西安710061

出　　处：《中国医学伦理学》2014年第5期657-659,共3页Chinese Medical Ethics

摘　　要：目的 分析探讨心理干预对呼吸重症监护病房（RICU）中老年女性患者睡眠和情绪的影响.方法 采用随机数字表法将西安交通大学医学院第一附属医院呼吸与危重症医学科2011年3月～ 2013年2月收治的80例老年女性患者分为两组,对照组予以RICU常规护理,实验组予以RICU常规护理的基础上,加以心理干预措施,对于两组患者入院1周后的睡眠质量、汉密尔顿抑郁和焦虑评分、抑郁和焦虑程度进行比较,探讨心理干预措施对于RICU中老年女性患者睡眠和情绪的影响.结果 实验组1周后的睡眠质量显著优于对照组,P＜0.05;实验组1周后的汉密尔顿抑郁和焦虑评分显著低于对照组,P＜0.05;实验组1周后的焦虑和抑郁程度显著轻于对照组,P＜0.05.结论 对呼吸重症监护病房（RICU）中老年女性患者在常规护理基础上实施心理干预,可以有效改善其睡眠质量和焦虑、抑郁症状,值得临床进一步应用.Objective：To analyze and discuss the effects of psychological intervention on sleeping and emotional in the elderly female patients in the respiratory intensive care unit （RICU）.Methods：The 80 aged female patients from Mar.2011 to Feb.2013 in the RICU were randomly divided into two groups.The control group was given the routine care,while the experimental group was given psychological intervention based on the routine care.After 1 week,the sleep quality,Hamilton depression and anxiety score s and the degree of depression and anxiety were compared.Results：The sleep quality was much better in the experimental group （P ＜ 0.05）.The Hamilton depression and anxiety scores were much lower in the experimental group than that in the control group （P ＜ 0.05）.The degree of depression and anxiety were much lighter in the experimental group than that in the control group （P ＜ 0.05）.Conclusion：The implementation of psychological intervention based on the usual care for the elderly female patients in RICU can effectively improve the quality of sleep and anxiety,depressive symptoms,which is worthy of further clinical application.

关 键 词：老年女性 呼吸重症监护病房 心理干预 睡眠质量 焦虑 抑郁 护理伦理 

分 类 号：R395[哲学宗教—心理学]