全面护理干预在改善癫痫患者生活质量及焦虑抑郁状况中的作用  

The Role of Comprehensive Nursing Intervention in Improving the Quality of Life and Anxiety and Depression of Epilepsy Patients

作　　者：祝刚[1] 李爱华 杨沙[1] ZHU Gang;LI Aihua;YANG Sha(Xiaogan Central Hospital,Xiaogan 432000,China)

机构地区：[1]湖北省孝感市中心医院,湖北孝感432000 [2]湖北省孝感市大悟黄麦岭医院

出　　处：《中国医学创新》2019年第11期97-101,共5页Medical Innovation of China

摘　　要：目的:探讨全面护理干预在改善癫痫患者生活质量及焦虑抑郁状况中的作用。方法:选取2015年8月-2017年8月本院收治的42例癫痫患者,按照随机数字表法分为对照组和研究组,各21例。对照组予以常规护理干预,研究组予以全面护理干预。两组患者均干预3个月。比较两组患者干预前后抑郁自评量表(SDS)、焦虑自评量表(SAS)、生活质量评定量表(QOLIE-31-P)、自我效能量表(GSES)、希望指数量表(HHI)、治疗依从性量表以及护理满意度情况。结果:干预前,两组患者SDS评分、SAS评分、GSES评分、HHI评分、治疗依从性评分、生活质量各维度评分比较,差异均无统计学意义(P>0.05);干预后,两组SDS、SAS评分均显著低于干预前,两组GSES评分、HHI评分、治疗依从性评分、生活质量各维度评分均显著高于干预前,且研究组SDS、SAS评分均显著低于对照组,研究组GSES评分、HHI评分、治疗依从性评分、生活质量各维度评分均显著高于对照组,差异均有统计学意义(P<0.05)。研究组护理满意度为95.24%,显著高于对照组的71.43%,差异有统计学意义(P<0.05)。结论:全面护理干预在癫痫患者中应用可显著改善患者焦虑抑郁状况,提高患者自我效能感、希望水平、治疗依从性以及生活质量,患者具有更高的满意度。Objective:To explore the role of comprehensive nursing intervention in improving the quality of life and anxiety and depression of epilepsy patients.Method:42 epilepsy patients admitted to our hospital from August 2015 to August 2017 were selected and divided into control group and research group according to random number table method,21 cases in each group.The control group was given routine nursing intervention,while the research group was given comprehensive nursing intervention.Two groups of patients were intervened for 3 months.The self-rating depression scale(SDS),self-rating anxiety scale(SAS),quality of life scale(QOLIE-31-P),self-efficacy scale(GSES),hope index scale(HHI),treatment compliance scale and nursing satisfaction were compared between the two groups before and after intervention.Result:There were no significant differences in the scores of SDS,SAS,GSES,HHI,treatment compliance and quality of life between the two groups before intervention(P>0.05).After intervention,the scores of SDS and SAS in the two groups were significantly lower than those before intervention,the scores of GSES,HHI,treatment compliance and quality of life in the two groups were all lower than those before intervention,the scores of SDS and SAS in the research group were significantly lower than those in the control group,the scores of GSES,HHI,treatment compliance and quality of life in the research group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The nursing satisfaction of the research group was 95.24%,significantly higher than 71.43% of the control group,the difference was statistically significant(P<0.05).Conclusion:The application of comprehensive nursing intervention in epilepsy patients can significantly improve anxiety and depression,improve self-efficacy,hope level,treatment compliance and quality of life,and patients have higher satisfaction.

关 键 词：全面护理干预 癫痫 焦虑抑郁 生活质量 希望 自我效能 

分 类 号：R473.74[医药卫生—护理学]