摘要
目的 探讨基于症状自评量表（SCL-90）的心理护理干预在ICU 建立人工气道患者中的应用效果。方法 采用便利抽样法，2016 年3 月—2017 年3 月选取首都医科大学附属北京潞河医院ICU 建立人工气道的94 例患者为研究对象。采取SCL-90 量表评估患者心理状况，采用随机数表法将患者分为观察组与对照组，每组各47 例，对照组给予常规护理，观察组在对照组基础上另依据SCL-90 评估结果进行心理护理干预，采用汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）、恐惧视觉模拟评分法（FAVS）量表分析两组患者干预前后心理状况。结果 ICU 建立人工气道患者SCL-90 量表评分中焦虑、抑郁、恐惧评分分别为（1.80±0.35）、（1.82±0.47）、（1.59±0.34）分，高于中国正常人SCL-90 常模的（1.39±0.43）、（1.50±0.59）、（1.23±0.41）分，差异有统计学意义（t值分别为9.043、5.148、8.321；P＜ 0.01）。两组干预后HAMA、HAMD、FAVS 评分均低于干预前，且观察组HAMA 评分（9.15±2.20）分、HAMD评分（10.94±2.50）分、FAVS 评分（1.95±0.41）分，低于对照组的（13.41±2.37）、（14.98±2.11）、（2.73±0.59）分，两组比较差异有统计学意义（t 值分别为9.031、8.466、7.443；P ＜ 0.01）。结论 ICU 建立人工气道患者主要伴有焦虑、抑郁、恐惧情绪，采取有针对性心理护理可改善患者负性情绪，对促进疾病转归有重要意义。
Objective To explore the application of psychological nursing intervention based on Symptom Checklist 90 Scale （SCL-90） in ICU patients with artificial airway. Method A total of 94 cases of ICU patients with artificial airway in Beijing Luhe Hospital Affilated to Capital Medical University from March 2016 to March 2017 were selected as the research subjects. SCL-90 was used to assess the psychological status of the patients. All patients were randomly divided into observation group and control group with 47 cases in each. Two groups were given routine nursing intervention. The observation group was also given psychological nursing intervention on the basis of the SCL-90 Scale. The psychological status of the two groups of patients was analyzed before and after intervention by Hamilton Anxiety Scale （HAMA）, Hamilton Depression Scale （HAMD） and Visual Analogue Scale for Fear （FAVS） methods. Results The scores of anxiety （1.80 ± 0.35）, depression （1.82 ± 0.47） and fear （1.59 ± 0.34） of ICU patients with artificial airway were higher than those of adult norm, which was （1.39 ± 0.43）, （1.50± 0.59） and （1.23 ± 0.41） respectively. The differences were statistically significant （t=9.043, 5.148, 8.321; P 〈 0.01）. The scores of HAMA, HAMD and FAVS after intervention in the two groups were lower than those before intervention. The HAMA score （9.15 ± 2.20）, the HAMD score （10.94 ± 2.50） and the FAVS score （1.95 ± 0.41） in the observation group were lower than those in the control group （13.41 ± 2.37）, （14.98 ± 2.11） and （2.73 ± 0.59） respectively. The differences were statistically significant （t=9.031, 8.466, 7.443; P 〈 0.01）. Conclusions ICU patients with artificial airway are mainly accompanied with anxiety, depression and fear. Targeted psychological nursing can improve the patient＇s unhealthy psychological mood, which is of great significance to promote the prognosis of the disease.
作者
王玉玲
Wang Yuling(ICU, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China)
出处
《中华现代护理杂志》
2018年第27期3300-3303,共4页
Chinese Journal of Modern Nursing
关键词
护理
重症监护室
人工气道
负性情绪
Nursing care
Intensive care units
Artificial airway
Negative emotion
