护理干预对老年肺结核患者抑郁焦虑心理状态及生活质量影响.docVIP

护理干预对老年肺结核患者抑郁焦虑心理状态及生活质量影响 　　[摘要] 目的 探讨护理干预对老年肺结核患者抑郁焦虑心理状态和生活质量的影响。 方法 选择2009年3月～2012年12月浙江省温岭市第一人民医院收治的老年肺结核患者380例。按照随机数字表法分为观察组和对照组，每组190例。对照组给予常规护理，观察组在常规护理基础上给予综合护理干预。比较出院时焦虑自评量表（SAS）和抑郁自评量表（SDS）评分变化情况，采用日常生活活动能力量表（ADL）和生活质量综合评估问卷（GQOL-74）评估患者生活质量，并评价满意度。 结果 治疗后观察组SAS评分[（27.5±5.1）分]和SDS评分[（25.4±2.8）分]均较治疗前的SAS评分[（66.3±10.6）分]和SDS评分[（53.1±6.4）分]显著降低，差异有统计学意义（P 　　[关键词] 肺结核；护理干预；抑郁；焦虑；生活质量 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-7210（2014）01（c）-0128-03 　　Effect of nursing intervention on improvement of depression， anxiety and the quality of life of elderly patients with pulmonary tuberculosis 　　CHEN Chao1 LI Hong1 XIA Chenxi1 CHEN Jiaojun1 CHEN Hongbing2 　　1.Department of Infectious Diseases， the First Peoples Hospital of Wenling， Zhejiang Province， Wenling 317500， China； 2.Tuberculosis Center， the 309 Hospital of PLA， Beijing 100091， China 　　[Abstract] Objective To investigate the effect of nursing intervention on improvement of depression， anxiety and the quality of life of elderly patients with pulmonary tuberculosis. Methods Totally 380 cases of elderly patients with pulmonary tuberculosis in the First Peoples Hospital of Wenling from March 2009 to December 2012 were randomly divided into control group and observation group， with 190 cases in each group. Control group was given the conventional care， and observation group was given the comprehensive nursing intervention. SAS， SDS， ADL and GQOL-74 score of two groups were compared， and the satisfaction was evaluated. Results SAS scores of （27.5±5.1） and SDS scores of （25.4±2.8） in observation group after nursing intervention were significantly lower than SAS scores of （66.3±10.6） and SDS scores of （53.1±6.4） before nursing intervention， the differences were statistically significant （P 　　[Key words] Tuberculosis； Nursing intervention?? Depression； Anxiety； Quality of life 　　肺结核属于肺部常见的一种传染病，可分为继发性和原发性两种。老年肺结核以继发性肺结核为主，由于自身机体免疫力下降及合并有多种疾病，病情不稳定易反复，造成老年患者的心理压力大，易产生焦虑、恐惧、抑郁等不良情绪，严重影响患者的生活质量和临床疗效[1-4]。浙江省