心理护理干预对多重耐药菌感染患者焦虑抑郁情绪的作用

The improving effect of anxiety and depression with psychological Nursing Intervention in Multi-drugresistant infections.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(2)
作者
作者单位

四川自贡第四人民医院感染管理科 ;

摘要
目的 分析多重耐药菌感染患者实施心理护理干预对改善焦虑、抑郁等不良心理的作用。方法 选取我院科室在2013年10月~2015年1月收治多重耐药菌感染患者240例(132例属ICU、EICU、脑外科昏迷病人及新生儿科不具备心理干预),依照护理模式不同分为心理干预组128例和对照组112例,给予对照组常规护理,给予心理干预组心理干预,分析护理效果。结果 护理前,两组患者焦虑、抑郁情况差异不明显,P >0.05,经过护理,心理干预组患者抑郁评分(28.1±0.6)显著低于对照组(33.5±1.3),P <0.05,心理干预组患者焦虑评分(28.4±1.2)显著低于对照组(33.8±1.1),P <0.05,心理干预组患者反复感染(4.7%)、交叉感染发生率(0.8%)显著低于对照组反复感染(14.3%)、交叉感染发生率(5.3%),P <0.05,心理干预组康复时间(10.4±2.6)d显著短于对照组(16.7±3.5)d,P <0.05。结论 多重耐药菌感染患者实施心理护理干预能够改善患者不良情绪,减少反复感染,提高护理满意度。
Abstract
bjective Toanalyzetheimprovingeffect of anxietyanddepressionwithpsychological Nursing To analyze the improving effect of anxiety and depression with psychological NursingIntervention in Multi-drug resistant infections,andtoprovidereferenceforclinical care. ,andtoprovidereferenceforclinical care. and to provide reference for clinical care.Methods 240patients(130 240 patients(130 (130 130cases were ICU、EICU、Neurosurgeryandneonatologycomapatientsdidnot havethepsychological intervention) 、EICU、Neurosurgeryandneonatologycomapatientsdidnot havethepsychological intervention) EICU、Neurosurgeryandneonatologycomapatientsdidnot havethepsychological intervention) 、Neurosurgeryandneonatologycomapatientsdidnot havethepsychological intervention) Neurosurgery and neonatology coma patients did not have the psychological intervention)with resistant infections in hospital from December 2013 to January 2015 were selected,patientsweredividedinto ,patientsweredividedinto patients were divided intocontrol group(112cases)andpsychological interventiongroup(128cases)accordingtotheNursingModel.control (112cases)andpsychological interventiongroup(128cases)accordingtotheNursingModel.control 112 cases)andpsychological interventiongroup(128cases)accordingtotheNursingModel.control )andpsychological interventiongroup(128cases)accordingtotheNursingModel.control and psychological intervention group(128cases)accordingtotheNursingModel.control (128cases)accordingtotheNursingModel.control 128 cases)accordingtotheNursingModel.control )accordingtotheNursingModel.control according to the Nursing Model.controlgroup patients were given careful of conventional care,psychological interventiongrouppatientsweregivencareful ,psychological interventiongrouppatientsweregivencareful psychological intervention group patients were given carefulof psychological intervention,theimprovingeffect of thetwogroupswerecompared. ,theimprovingeffect of thetwogroupswerecompared. the improving effect of the two groups were compared.Results Twogroupsof patients Two groups of patientsanxiety depression situation were no significant difference before treatment,P > 0.05,psychologicalinterventiongroup ,psychologicalinterventiongroup psychological intervention groupdepression score(28.1±0.6)wassignificantlylowerthanthecontrol group(33.5±1.3)aftertreatment, (28.1±0.6)wassignificantlylowerthanthecontrol group(33.5±1.3)aftertreatment, 28.1±0.6)wassignificantlylowerthanthecontrol group(33.5±1.3)aftertreatment, )wassignificantlylowerthanthecontrol group(33.5±1.3)aftertreatment, was significantly lower than the control group(33.5±1.3)aftertreatment, (33.5±1.3)aftertreatment, 33.5±1.3)aftertreatment, )aftertreatment, after treatment,P <0.05,psychological intervention group anxiety scores(28.4±1.2)wassignificantlylowerthanthecontrolgroup(33.8±1.1), (28.4±1.2)wassignificantlylowerthanthecontrolgroup(33.8±1.1), 28.4±1.2)wassignificantlylowerthanthecontrolgroup(33.8±1.1), )wassignificantlylowerthanthecontrolgroup(33.8±1.1), was significantly lower than the control group(33.8±1.1), (33.8±1.1), 33.8±1.1), ),P <0.05,Psychological interventiongrouppatientswithrecurrent infections(4.7%),theincidenceof cross-infection ,Psychological interventiongrouppatientswithrecurrent infections(4.7%),theincidenceof cross-infection Psychological intervention group patients with recurrent infections(4.7%),theincidenceof cross-infection (4.7%),theincidenceof cross-infection 4.7%),theincidenceof cross-infection %),theincidenceof cross-infection the incidence of cross-infection(0.8%)weresignificantlylowerthanthecontrolgrouprecurrentinfections(14.3%)andpoorinfectionrate(5.3%), 0.8%)weresignificantlylowerthanthecontrolgrouprecurrentinfections(14.3%)andpoorinfectionrate(5.3%), %)weresignificantlylowerthanthecontrolgrouprecurrentinfections(14.3%)andpoorinfectionrate(5.3%), were significantly lower than the control group recurrent infections(14.3%)andpoorinfectionrate(5.3%), (14.3%)andpoorinfectionrate(5.3%), 14.3%)andpoorinfectionrate(5.3%), %)andpoorinfectionrate(5.3%), and poor infection rate(5.3%), (5.3%), 5.3%), %),P <0.05,Rehabilitationtimeof psychological interventiongroup(10.4±2.6)dwassignificantlyshorterthanthecon- ,Rehabilitationtimeof psychological interventiongroup(10.4±2.6)dwassignificantlyshorterthanthecon- Rehabilitation time of psychological intervention group(10.4±2.6)dwassignificantlyshorterthanthecon- (10.4±2.6)dwassignificantlyshorterthanthecon- 10.4±2.6)dwassignificantlyshorterthanthecon- )dwassignificantlyshorterthanthecon- d was significantly shorter than the con-trol group(16.7±3.5)d, (16.7±3.5)d, 16.7±3.5)d, )d, d,P <0.05.Conclusion Multi drugresistant bacteriainfectioninpatientswithpsychological Multi drug resistant bacteria infection in patients with psychologicalcare intervention can improve patients with negative emotions,reducerecurrent infections,improvenursingsatisfac- ,reducerecurrent infections,improvenursingsatisfac- reduce recurrent infections,improvenursingsatisfac- ,improvenursingsatisfac- improve nursing satisfac-tion.
关键词
耐药菌感染;心理护理;焦虑;抑郁
KeyWord
Resistant infections;Psychologicalcare;Anxiety;Depression ;
基金项目
页码 379-381
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肖丙莲*,吴淑琴,李东静,刘鸿德. 心理护理干预对多重耐药菌感染患者焦虑抑郁情绪的作用 [J]. 国际精神病学杂志. 2016; 43; (2). 379 - 381.

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