摘要
目的探讨分阶段个体化健康教育对改善骨折患者焦虑抑郁状况的效果。方法将存在焦虑抑郁症状的骨折患者60例随机分成实验组和对照组各30例。对实验组患者采用特制的系统的、分阶段的个体化的全程健康教育计划进行焦虑、抑郁症状的干预。对照组患者采用常规的健康教育指导。对2组患者分别在入院前、出院时采用汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）进行焦虑、抑郁状况的评价。结果出院时2组患者的HAMA和HAMD评分均较自身人院时有显著改善，但实验组改善程度更加显著，出院时实验组的HAMA和HAMD评分水平显著优于同期对照组水平。结论系统的、分阶段的个体化的全程健康教育指导对骨折患者焦虑抑郁症状有明显的改善效果，显著消除或减轻了患者焦虑、抑郁症状，能够满足患者的健康教育需求，激发患者主动配合治疗的积极性，树立了战胜疾病的信心，帮助患者形成良好的行为方式，促进了患者早日康复。
Objective To discuss the staging and individualized health education on alleviation of anxi- ety and depression of fracture patients. Methods 60 fracture patients who showed anxiety and depression symptoms were randomly divided into the experimental group and the control group with 30 patients in each group. The experimental group used the special-designed staging and individualized health education plan to in- tervene the anxiety and depression symptoms of patients. The control group used the routine health education program. The Hamilton Anxiety Scale （HAMA）and Hamilton Depression Scale （HAMD）were used to assess the patients＇ anxiety and depression degree before and after intervention. Results HAMA and HAMD score at discharge were lower than on admission in both groups. HAMA and HAMD score at discharge in the experimental group were significantly lower than the control group. Conclusions The systematic, staging and individualized health education program has significant effect on the anxiety and depression symptom of fracture patients. It can effectively alleviate the symptoms of anxiety and depression, satisfy the requirement of patients for health education, stimulate the patients＇ initiative to coordinate with the treat- ment, establish the confidence to fight with disease and help patients form a good behavior manner, and promote patients＇ recovery.
出处
《中国实用护理杂志》
北大核心
2012年第34期55-57,共3页
Chinese Journal of Practical Nursing
关键词
健康教育
分阶段
个体化
焦虑
抑郁
Health education
Staging
Individualized
Anxiety
Depression
