积极心理暗示对获得性免疫缺陷综合征合并梅毒患者注射青霉素时不良情绪及晕厥发生率的影响  

Influence of positive psychological suggestion on adverse mood and syncope incidence in patients with AIDS and syphilis injected penicillin

作　　者：龚丽霞 廖明儿[1] Gong Lixia;Liao Minger(The 8th People's Hospital of Guangzhou,510160,China)

机构地区：[1]广州市第八人民医院,510160

出　　处：《国际护理学杂志》2020年第13期2369-2372,共4页international journal of nursing

摘　　要：目的:分析积极心理暗示对获得性免疫缺陷综合征(AIDS)合并梅毒患者注射青霉素时不良情绪及晕厥发生率的影响。方法:选取2017年4月至2018年12月在该院治疗的AIDS合并梅毒的患者148例,将其根据随机数字表分为观察组(74例)和对照组(74例),两组均采用青霉素臀部注射治疗,其中对照组采用常规护理,不进行特殊心理干预;观察组在上述基础上采用积极心理暗示方法。对比两组的临床效果,并采用汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)评估患者的焦虑抑郁情绪变化,分析患者注射青霉素是晕厥发生率。结果:治疗后及治疗后1个半月的随访期内,两组患者的梅毒PRP滴度转阴率均未见统计学差异,治疗前两组患者的HAMA评分与HAMD评分均未见统计学差异;治疗后两组HAMA评分与HAMD评分均降低,且观察组低于对照组,差异均有统计学意义(均P<0.05)。观察组4次注射时,第1次的晕厥率为1.35%,此后均为0,对照组4次注射青霉素时的晕厥率依次为10.81%、9.46%、8.11%、8.11%,观察组均低于对照组,差异均有统计学意义(均P<0.05)。结论:积极心理暗示方法可有效缓解AIDS合并梅毒患者的焦虑抑郁等不良情绪,降低晕厥发生率。Objective To analyze the influence of positive psychological suggestion on the incidence of adverse mood and syncope during penicillin injection in patients with acquired immunodeficiency syndrome(AIDS)combined with syphilis.Methods A total of 148 AIDS patients with syphilis treated in the hospital from April 2017 to December 2018 were selected and divided into observation group(74 cases)and control group(74 cases)according to the random number table.Both groups were treated with penicillin hip injection.The clinical effects of the two groups were compared,and Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to evaluate the changes of patients'Anxiety and Depression emotions,and the incidence of syncope of patients injected with penicillin was analyzed.Results During the follow-up period of 1 and a half months after treatment,there was no statistical difference in PRP titer conversion rate between the two groups,and no statistical difference in HAMA score and HAMD score between the two groups before treatment.HAMA scores and HAMD scores of the two groups were reduced after treatment,and the observation group was lower than the control group,with statistically significant differences(P<0.05).In the observation group,the syncope rate of the first injection was 1.35% and 0 thereafter,while in the control group,the syncope rate of the fourth injection of penicillin was 10.81%,9.46%,8.11% and 8.11%,respectively,which were all lower than those in the control group,the differences were statistically significant.Conclusions Positive psychological suggestion method can effectively alleviate anxiety,depression and other negative emotions in AIDS patients with syphilis,and reduce the incidence of syncope.

关 键 词：积极心理暗示 获得性免疫缺陷综合征 梅毒 青霉素 不良情绪 晕厥 

分 类 号：R512.91[医药卫生—内科学] R759.1[医药卫生—临床医学]