武汉市某医院频繁就诊多科室患者心理评估及护理干预研究

摘要

目的:探讨频繁就诊于门诊多科室患者的心理特征及护理干预措施.方法:选取60例频繁就诊于某医院门诊多科室患者(研究组)与60例在门诊单个科室就诊患者(对照组)进行抑郁自评量表(SDS)、焦虑自评量表(SAS)测评,并作相关分析.同时,对60例研究组又随机分为干预组和未干预组,每组30例,分析采取护理干预后的效果.结果:研究组SDS、SAS评分明显高于对照组(t=18.15,P＜0.001,t=16.62,P＜0.001);其主诉多系统生理症状的出现频次也显著多于对照组;同时其躯体疾病确诊率、实验室检查阳性支持率、疗效均显著低于对照组.经过护理干预后,干预组SDS、SAS评分显著降低(t=3.13,P＜0.01,t=4.68,P＜0.01),多系统生理症状的出现频次有明显减少.结论:频繁就诊于门诊多科室患者有明显的抑郁、焦虑情绪和多种躯体化症状,需给予积极的护理干预,提高患者对疾病的认知程度及应对能力,减轻患者的负性情绪,为积极配合诊疗创造条件.%Objective:Explore the psychological characteristics and nursing intervention of patients frequently visiting to multiple departments. Methods: Choose 60 patients that frequently visiting to multiple departments (Research Data) and 60 patients that visit only one department (Comparative Data), then take the Self-rating Depression Scale (SDS), Self-rating Anxiety Scale(SAS)and correlation analysis of them. Results: The SDS and SAS score ofResearch Data is obviously higherthan Comparative Data(t=18.15,P < 0.001,t=16.62,P < 0.001); The chief complaint of multiple system physiological symptoms of frequency of occurrence was also significantly more than Comparative Data; at the same time its somatic disease diagnosis, laboratory examination, positive support efficacy were significantly lower than the Comparative Data. After nursing intervention, the intervention group SDS, SAS score decreased significantly (t=3.13, P < 0.01, t = 4.68,P < 0.01 ), the frequency of multiple system physiological symptoms has been significantly reduced. Conclusions: The frequently visiting to multiple departments patients have obvious depression, who should be given active nursing intervention to improve their disease cognition and coping ability, alleviate the negative emotion, to actively cooperate with medical conditions.