中医情志护理干预甲状腺功能亢进症伴焦虑、抑郁临床研究
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R248.1;R581.1

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Clinical Study on Chinese Medicine Emotional Nursing in Treating Hyperthyroidism Complicated with Anxiety and Depression
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    摘要:

    目的:观察中医情志护理对甲状腺功能亢进症伴焦虑、抑郁患者的护理效果。方法:选取96例甲状腺功能亢进症伴焦虑、抑郁患者,按随机数字表法分为对照组和观察组各46例。2组均给予甲巯咪唑片和舒肝解郁胶囊治疗,对照组实施常规护理,观察组在对照组基础上加用中医情志护理措施。施护8周后评价疗效,对比2组治疗前后汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表-17(HAMD-17)、匹兹堡睡眠质量指数(PSQI)及主观情绪症状评分。结果:干预后,2组HAMA、HAMD-17及PSQI评分均较干预前下降(P<0.01),观察组HAMA、HAMD-17及PSQI评分均低于对照组(P<0.01)。干预后,2组善惊易恐、喜太息、神情淡漠、喜怒不定及心烦易怒评分均较干预前下降(P<0.01),观察组上述主观情绪症状评分均低于对照组(P<0.01)。结论:中医情志护理能有效减轻甲状腺功能亢进症患者的抑郁、焦虑情绪,提升睡眠质量,减轻不良主观情绪症状。

    Abstract:

    To observe the effect of Chinese medicine emotional nursing on patients with hyperthyroidism complicated with anxiety and depression.Methods:A total of 96 cases of patients with hyperthyroidism complicated with anxiety and depression were divided into the control group and the observation group according to random number table method,46 cases in each group.Both groups were treated with Thiamazole tablets and Shugan Jieyu capsules; the control group was additionally given routine nursing,and the observation group was additionally treated with Chinese medicine emotional nursing based on the treatment of the control group.Eight weeks after treatment,the therapeutic effect was evaluated; the scores of Hamilton Anxiety Scale(HAMA),Hamilton Anxiety Scale-17(HAMA-17),Pittsburgh Sleep Quality Index(PSQI)and subjective emotional symptoms were compared before and after treatment in the two groups.Results:After treatment, scores of HAMA, HAMA-17 and PSQI in both groups were decreased when compared with those before treatment(P<0.01),and the ones in the observation group were lower than those in the control group(P<0.01).After treatment,the scores of susceptibility to fright and fear,preference to sigh,haziness of spirit-affect,moodiness,and vexation and irritability in the two groups were all decreased when compared with those before treatment(P < 0.01),and the scores of the above subjective emotional symptoms in the observation group were lower than those in the control group(P<0.01).Conclusion:Chinese medicine emotional nursing can effectively reduce depression and anxiety in patients with hyperthyroidism,improve their quality of sleep,and reduce adverse subjective emotional symptoms.

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李斌.中医情志护理干预甲状腺功能亢进症伴焦虑、抑郁临床研究[J].新中医,2019,51(10):308-310

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  • 在线发布日期: 2019-10-11
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