护理干预对心脏神经官能症的影响及生活质量评价  

The effects of nursing intervention on cardiac neurosis and on the quality of life

作　　者：邵红[1] 解芳[2] 

机构地区：[1]四川内江市第一人民医院心血管内科,内江641000 [2]四川内江市第一人民医院供应室,内江641000

出　　处：《中国实用神经疾病杂志》2016年第6期129-131,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨护理干预对心脏神经官能症患者的疗效及对生活质量的影响。方法选取我院2012-05-2015-05收治入院的120例心脏神经官能症患者为研究对象,采用随机数字表法分为常规护理组与护理干预组,对比2组患者的疗效及患者护理前、护理2周后的心理状态评价结果。结果护理干预组总有效率明显高于常规护理组,且差异有统计学意义(χ2=6.86,P<0.05)。护理干预组护理后总症状指数、抑郁因子评分、焦虑因子评分与护理前相比差异均具有统计学意义(t=2.98,P<0.05;t=3.32,P<0.05;t=3.14,P<0.05)。常规护理组护理后总症状指数、抑郁因子评分、焦虑因子评分与护理前相比差异均具有统计学意义(t=2.76,P<0.05;t=2.56,P<0.05;t=2.19,P<0.05)。常规护理组护理后患者总症状指数(SCL90)、抑郁因子评分、焦虑因子评分与护理干预组护理后相比差异具有统计学意义(t=2.94,P<0.05;t=3.32,P<0.05;t=3.14,P<0.05)。护理干预组角色功能、躯体功能、认知功能、情绪功能、社会功能及总体健康状况评分明显高于常规护理组,且差异有统计学意义(t=6.24,P<0.05;t=6.86,P<0.05;t=6.94,P<0.05;t=7.02,P<0.05;t=7.34,P<0.05;t=7.16,P<0.05)。结论与常规护理及营养心脏药物治疗相比,在此基础上加强护理干预措施对治疗心脏神经官能症有明显疗效,可减少患者的心理焦虑,显著提高了患者的生活质量。Objective To explore the impacts of the nursing intervention on cardiac neurosis effect and on the quality of life. Methods We recruited 120 cases with cardiac neurosis from May 2012 to May 2012 in our hospital as the research ob- jects. All cases were randomly divided into routine nursing group and nursing intervention group according to random number table method. Then the curative effect, psychoiogical state before nursing and after 2-week nursing of the two groups were comparatively analyzed. Results The total effective of the intervention group was obviously higher than that of the routine group, and the difference was statistically significant （χ2= 6.86, P〈 0.05）. Both in intervention group and in the routine group, the total symptom index （SCL90）, depression factor scores and anxiety factor scores showed significant differences be- tween pre-nursing and post-nursing （intervention group., t=2.98,P〈0.05, t=0.05,P%0.05, t=0.05,P〈0.05; routine group., t= 0. 76,P〈0. 05, t=0.05,P〈0.05, t=0.05,P〈0.05）. In addition, the role function, physical function, cognitive function, emotional function, social function and overall health scores in the intervention group were significantly better than those in the routine group with significant differences （t=6.24, P〈0.05, t=6.86, P〈0.05, t=0.05, P%0.05, t=0.05, P〈0.05, t=0. 05, P〈0.05, t= 0.05, P〈0.05）. Conclusion Compared with the routine nursing, intensive nursing inter- vention has an obvious curative effect on cardiac neurosis, which can reduce the psychological anxiety and improve the pa- tients＇ quality of life.

关 键 词：心脏神经官能症 护理干预 生活质量 症状自评量表(SCL90) 

分 类 号：R473.74[医药卫生—护理学]