护理干预对T细胞酶联免疫斑点试验结果阳性风湿性疾病患者心理状况的影响

摘要

目的：探讨护理干预对T细胞酶联免疫斑点试验结果（ T-SPOT. TB）阳性风湿性疾病患者心理状况的影响。方法：将收治的64例T-SPOT. TB阳性风湿性疾病患者进行护理干预，采用汉密顿焦虑量表（ HAMA）评定患者在得知T-SPOT. TB结果的次日和1周后的心理状况。结果：本组患者均顺利完成连续性治疗，正常出院。干预后HAMA总分及焦虑、害怕、紧张、失眠、记忆或注意障碍各因子得分明显低于干预前（ P＜0.01）。结论：及时的护理干预可有效缓解T-SPOT. TB阳性风湿性疾病患者焦虑、害怕、紧张等负性情绪，提高患者满意度。%Objective:To explore the effect of nursing intervention on the psychological state of patients with rheumatic disease( positive tested by T-cell ELISPOT). Methods:Nursing intervention was given to 64 positive patients with rheumatic diseases. HAMA was used to assess the psychological state of the patients when they knew the results of T-SPOT. TB the next day and after one week. Results:All the patients successfully completed the continuous treatment and were discharged from hospital. The total score of HAMA and the score of each factor like anxiety,fear,tension,insomnia and memory or attention disorder were significantly lower after the intervention than those before the intervention(P<0. 01). Conclusion:The timely nursing intervention can effectively relieve anxiety,fear,tension and other negative e-motions of( T-SPOT. TB)positive patients with rheumatic diseases and can improve their satisfaction.