分级心理护理对急性胰腺炎患者焦虑、抑郁状态及护理满意度的影响  

Effect of graded psychological nursing on anxiety, depression and nursing satisfaction of patients with acute pancreatitis

作　　者：韦惠云[1] 韦素雨 黄莉 黎慧萍[1] 李爽旗 覃月秋[1] WEI Huiyun;WEI Suyu;HUANG Li;LI Huiping;LI Shuangqi;QIN yueqiu(Department of Gastroenterology,Affiliated Hospital of Youjiang Medical University for Nationalities,Guangxi Zhuang Autonomous Region,Baise 533000,China)

机构地区：[1]右江民族医学院附属医院消化内科

出　　处：《中国医药导报》2019年第34期169-172,共4页China Medical Herald

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题项目(Z2015094);广西自然科学基金项目(2017GXNSFAA198030)

摘　　要：目的探讨分级心理护理对急性胰腺炎患者焦虑、抑郁状态及护理满意度的影响。方法选取2018年7月~2019年3月在右江民族医学院附属医院消化科住院治疗的急性胰腺炎患者160例,按随机数字表法将其分为实验组和对照组,每组80例。两组患者均接受相同的内科常规治疗,对照组接受病房常规心理护理,实验组在对照组的基础上进行分级心理护理干预,分别于入院48~72 h内和干预5 d后用医院焦虑抑郁量表(HAD)评估患者的心理状态及护理后的满意度,分析分级心理护理的有效性。结果护理前,两组患者HAD评分的焦虑和抑郁评分差异无统计学意义(P>0.05);实施分级心理护理后,两组患者的焦虑和抑郁评分均明显下降,且实验组焦虑和抑郁评分均显著低于对照组(P<0.01或P<0.05)。护理后,实验组二、三级患者的焦虑评分较护理前显著降低(P<0.01),而抑郁评分中仅二级患者较护理前显著降低(P<0.01)。实验组护理满意度明显高于对照组(P<0.05)。结论分级心理护理有利于桂西地区急性胰腺炎患者焦虑、抑郁状态的改善,有利于提高其护理满意度,具有较好的临床护理意义。Objective To explore the effect of graded psychological nursing on anxiety,depression and nursing satisfaction of patients with acute pancreatitis.Methods A total of 160 patients with acute pancreatitis who were hospitalized in the Department of Gastroenterology,Affiliated Hospital of Youjiang Medical University for Nationalities from July 2018 to March 2019 were selected and divided into the experimental group and the control group according to the random number table,with 80 patients in each group.Both groups received the same routine medical treatment.The control group received conventional psychological nursing in the ward,while the experimental group carried out graded psychological nursing intervention on the basis of the control group.The hospital anxiety and depression scale(HAD)was used to evaluate the patients′psychological state and satisfaction after nursing,respectively,within 48-72 h after admission and 5 d after intervention,and the effectiveness of graded psychological nursing was analyzed.Results Before nursing,there was no significant difference between the two groups in the anxiety and depression scores of HAD scores(P>0.05).After the implementation of graded psychological nursing,the anxiety and depression scores of the patients in both groups decreased significantly,and the anxiety and depression scores of the experimental group were significantly lower than those of the control group(P<0.01 or P<0.05).After nursing,the anxiety score of the second and third level patients in the experimental group was significantly lower than that before nursing(P<0.01),while only the second level patients′the depression score was significantly lower than that before nursing(P<0.01).The nursing satisfaction of the experimental group was significantly higher than that of the control group(P<0.05).Conclusion Graded psychological nursing is beneficial to the improvement of anxiety and depression in patients with acute pancreatitis in western Guangxi region,which is beneficial to improve their nursing satisfa

关 键 词：分级心理护理 急性胰腺炎 焦虑 抑郁 护理满意度 

分 类 号：R473.5[医药卫生—护理学]