远距离照护模式对慢性心力衰竭患者焦虑、抑郁及治疗依从性的影响  

Influence of long distance care model on anxiety, depression and treatment adherence in patients with chronic heart failure

作　　者：张琳琳[1] 

机构地区：[1]哈尔滨医科大学附属第一临床医院群力院区综合四病房,150000

出　　处：《中华现代护理杂志》2015年第3期291-293,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨远距离照护模式对慢性心力衰竭患者焦虑、抑郁及治疗依从性的影响。方法选取2013年7月—2014年3月120例慢性心力衰竭患者作为研究对象，按照随机数字表法将患者随机分为对照组和研究组，每组各60例。出院后对照组实施常规护理，研究组在此基础上根据远距离照护模式进行护理。6个月后，通过焦虑自评量表（ SAS）和抑郁自评量表（ SDS）评定患者焦虑、抑郁的主观感受；依据治疗依从性评价标准评价患者的治疗依从性。结果远距离照护模式进行护理实施6个月后，研究组患者SAS、SDS得分分别为（39．27±8．31），（40．54±5．51）分，分别优于对照组的（49．12±7．31），（51．14±6．64）分，差异有统计学意义（t值分别为－16．26，－18．39；P＜0．05）。治疗后研究组不能依从5例，一般依从11例，完全依从44例，优于对照组，差异有统计学意义（ U＝11．217，P＜0．01）。结论远距离照护能够改善慢性心力衰竭患者焦虑、抑郁状态，提高患者治疗的依从性。Objective To explore the influence of long distance care model on the anxiety, depression and treatment adherence of patients with chronic heart failure.Methods Totals of 120 patients with chronic heart failure were selected from July 2013 to March 2014.They were randomly divided into the control group and experimental group, with 60 cases in each.After discharge, they were implemented with different nursing method.The control group was given routine outpatient nursing, while the experimental group was given the long distance care on the basis of conventional outpatient nursing.After six months, the Self-rating Anxiety Scale （ SAS） and Self-rating Depression Scale （ SDS） were used to assess patients′anxiety, depression and subjective feeling.Results After 6 months of long distance care, the scores of SAS and SDS in the experimental group were （39.27 ±8.31） and （40.54 ±5.51）, which were significantly better than those of the control group with （49.12 ±7.31） and （51.14 ±6.64）, and the differences were statistically significant （t =-16.26,-18.39, respectively;P 〈0.05）.In the experimental group, 5 patients could not follow the treatment compliance, 11 patients could generally follow the treatment compliance, and 44 patients completely follow the treatment compliance.The difference between the two groups was significant （ U =11.217, P 〈0.01 ）. Conclusions Long distance care can reduce the anxiety and depression of patients with chronic heart failure, and improve patients′compliance.

关 键 词：心力衰竭 焦虑 抑郁 远距离照护 依从性 

分 类 号：R473.5[医药卫生—护理学]