健康教育对类风湿关节炎患者焦虑抑郁心理影响的研究.doc

健康教育对类风湿关节炎患者焦虑抑郁心理影响的研究 遂宁市中心医院四川遂宁629000 ［ ］目的探讨健康教育对类风湿关节炎患者焦虑抑郁状态的影响方法 将60例入住遂宁市中心医院的类风湿关节炎患者按就诊顺序分为干预组和对 照组,每组各30例，对照组给予常规护理，干预组在常规护理的基础上实施个体 化健康教育,两组在干预前后分别应用汉密顿抑郁量表(HAMD17版)、焦虑自评 量表(SAS)评定患者情绪，并比较护理干预前后的分值结果干预组和对照组 治疗后焦虑抑郁程度均有所改善，治疗后干预组和对照组两组患者焦虑抑郁评分 改善情况比较(Plt;0. 05)有统计学意义，但干预组改善程度更加显著结论对 类风湿关节炎患者实施个体化健康教育能宥效改善其焦虑抑郁心理，对提高生命 质量有积极作用 ［关键词］类风湿关节炎焦虑抑郁健康教育 【 】R47【 】A ［abstract］ Objective To explore the effects of health education on improving anxiety and depression status in patients with rheumatoid arthritis. Methods 60 cases of patients with rheumatoid arthritis in Sunning Central Hospital were randomly divided into the control group (n = 30) and the intervention group (n = 30) according to the admission order. General nursing care was given to the control group, while the intervention group was treated with individualized health education on the basis of the general nursing. Before and after intervention, patients* emotions were assessed with Hamilton Depression Scale (HAMD17) and SAS, then the scores were compared. Results The level of anxiety and depression in the intervention group and the control group were improved after treatment, and the improvement of anxiety and depression score (Plt;0.05) of the two groups were statistically significant, but the improvement of the intervention group was more significant.. Conclusion Health education can effectively improve the anxiety and depression psychology of patients with rheumatoid arthritis, which also has positive effect in improving the quality of life. ［key words］ Rheumatoid arthritis; anxiety and depression status ； Health education; 类风湿关节炎(rheumatoid arthritis,RA)虽然常常表现为小关节受累，但 其实质为是一种自身免疫性疾病iL病因至今不明，其表现形式多为慢性、迁延性、 对称性关节部位炎症，最终可能导致关节畸形［1】。RA全球发病率较高，任何年龄 段均可能发病，其中女性患者为男性患者的2?3倍,晚期致残率高，多脏器功能 受损，严重危害人类健康［2】。患者常出现焦虑和抑郁状态，严重影响患者生存质 量，我们在应用常规药物治疗的基础上，让患者全程接受阶段式的健康教育。为 探讨健康教育对类风湿关节炎患者焦虑抑郁情绪的影响，我们进行了相关对照研 宄，现报告如下。 1.对象与方法 1.1对象选择2015年1月?2015年10月遂宁市中心医院收治的类 风湿关节炎患者60例，其中男18例，女42例，年龄17?69岁，平均(48.32 plusmn;10.86)岁，