健康教育对肝硬化重度腹水患者焦虑抑郁和生活质量的影响.docVIP

健康教育对肝硬化重度腹水患者焦虑抑郁和生活质量的影响 【摘要】目的 探讨肝硬化腹水患者焦虑、抑郁情绪和生活质量的影响因素，以制订相应健康教育措施。方法 采用焦虑、抑郁量表（SAS、SDS）进行调查，确定影响肝硬化重度腹水患者焦虑、抑郁情绪发生的主要因素，并针对性进行健康教育；同时采用诺丁汉健康量表（NHPQOL）了解患者的生活质量。结果肝硬化重度腹水患者因职业、文化程度、经济条件、社会支持的不同，焦虑、抑郁的发生差异有显著性意义（均P0.05）；健康教育后SDS、SAS及NHPQOL各项评分较教育前显著降低（P0.01，P0.05）。结论多种因素可致肝硬化重度腹水患者发生焦虑、抑郁情绪，健康教育可有效地缓解患者负性情绪, 提高其生活质量。 【关键词】 肝硬化；腹水；焦虑；抑郁；生活质量；健康教育 Effect of Healthy Education on Anxiety, Depression and Quality of Life of the Patients with Severe Cirrhotic Ascites∥JING Li∥（Department of Infectious Diseases, Central Hospital, Jiaozuo Coal Industrial Group, Jiaozuo 454100, China） Abstract：Objective To investigate the anxiety, depression and quality of life and the related factors in the patients with severe cirrhotic ascites and draw the corresponding healthy education measures. Methods By using SDS, SAS, the main factors related to the anxiety and depression of the patients with severe cirrhotic ascites were determined and the corresponding healthy education was performed. At the same time, NHPQOL was used to study the quality of life of the patients. Results In the patients with severe cirrhotic ascites, the occurrence of anxiety and depression was significantly correlated with the occupations, educational level, economic condition and social support (all P0.05). After healthy education, SDS and SAS scores were significantly decreased as compared with those before healthy education (all P0.01). After healthy education, NHPQOL scores were lower than those before healthy education (all P0.05). Conclusion Various factors can result in the occurrence of anxiety and depression in the patients with severe cirrhotic ascites. Healthy education could effectively alleviate the negative spirits of the patients and improve their quality of life. Key words: hepatic cirrhosis; ascites; anxiety; depression; quality of life; healthy education 肝硬化由于病程长、久治不愈，特别是后期腹水出现诸多并发症，易使患者产生焦虑、抑郁情绪，影响治疗效果，加速病情恶化[1，2]。为了解肝硬化腹水患者焦虑、抑郁情绪及主要影响因素,了解患者的生活质量，采取有效的健康教育措施，2003年1~12月对我科住院治疗的80例肝硬