治疗性沟通对肝豆状核变性患者抑郁及生活质量的提升探讨  

Therapeutic Communication on the Improvement of Depression and Quality of Life in Patients with Hepatolenticular Degeneration

作　　者：庄艳红 王励[1] ZHUANG Yanhong;WANG Li(Department of Neurology,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350005 China)

机构地区：[1]福建医科大学附属第一医院神经内科,福建福州350005

出　　处：《中外医疗》2021年第9期156-159,共4页China & Foreign Medical Treatment

摘　　要：目的探讨治疗性沟通对肝豆状核变性患者抑郁及生活质量的影响。方法方便选取该院2017年1月—2019年12月肝豆状核变性患者80例,并随机分为每组40例(随机数字表法)。对照组实施常规护理,观察组在其基础上实施治疗性沟通护理,比较两组的不良情绪评分、生活质量评分、护理满意度。结果护理后,SAS评分、SDS评分在观察组中分别为(41.68±4.83)分、(42.50±5.19)分,均低于对照组,差异有统计学意义(t=4.810、4.743,P<0.05)。护理后,生理、心理、环境、社会关系等领域的生活质量评分在观察组中分别为(88.45±6.37)分、(89.36±6.28)分、(88.46±6.83)分、(88.57±6.29)分,均高于对照组,差异有统计学意义(t=4.550、4.519、4.843、4.704,P<0.05)。护理总满意率在观察组中为97.50%,高于对照组80.00%,差异有统计学意义(χ^(2)=4.507,P=0.034)。结论治疗性沟通用于肝豆状核变性患者中,可促使患者不良情绪减轻,促使其生活质量提高,并提高护理满意度。Objective To explore the effect of therapeutic communication on depression and quality of life in patients with hepatolenticular degeneration.Methods From January 2017 to December 2019,80 patients with hepatolenticular degeneration in the hospital were conveniently selected and randomly divided into 40 cases in each group(random number table method).The control group carried out routine nursing,and the observation group carried out therapeutic communication nursing based on it.The two groups'bad mood scores,quality of life scores,and nursing satisfaction were compared.Results After nursing,the SAS score and SDS score in the observation group were(41.68±4.83)points and(42.50±5.19)points,respectively,which were lower than those in the control group,and the difference was statistically significant(t=4.810,4.743,P<0.05).After nursing,the quality of life scores in the fields of physiology,psychology,environment,and social relations in the observation group were(88.45±6.37)points,(89.36±6.28)points,(88.46±6.83)points,(88.57±6.29)points,respectively,higher than the control group,and the difference was statistically significant(t=4.550,4.519,4.843,4.704,P<0.05).The overall satisfaction rate of nursing in the observation group was 97.50%,which was higher than 80.00%in the control group,and the difference was statistically significant(χ^(2)=4.507,P=0.034).Conclusion Therapeutic communication used in patients with hepatolenticular degeneration can reduce the patient's bad mood,improve their quality of life,and improve nursing satisfaction.

关 键 词：肝豆状核变性 护理 治疗性沟通 生活质量 

分 类 号：R47[医药卫生—护理学]