摘要
目的 探讨梅毒患者实施焦点式心理护理的临床效果。方法 回顾性分析我院于2010年9月-2015年9月期间,治疗84 例梅毒患者的临床资料,其中对照组42例,采取常规护理;观察组42例,实施焦点式心理护理;对所有患者进行 症状自评量表评分(SCL-90评分),并对比两组患者的治疗依从性,综合评价患者的临床护理效果。结果 护理前 后,观察组患者的躯体化、强迫症状、人际关系、抑郁、焦虑、敌对、恐怖、偏执及精神病性的评分改善程度显 著大于对照组,观察组患者治疗依从性的优良率为88.10%,显著大于对照组的66.67%,差异均具有统计学意义(P <0.05)。结论 梅毒患者实施焦点式心理护理的临床效果确切,临床效果优于常规护理,可显著改善患者的心理状 态,消除不良的心理因素,提高治疗依从性的优良率,值得临床推广使用。
Objective To explore the clinical effect of focus psychotherapy nursing in patients with syphilis. Methods The clinical data of 84 patients with syphilis were analyzed retrospectively from September 2010 to September 2015. Among them, 42 cases were treated with routine nursing care (control group); 42 cases were treated with focus psychotherapy nursing. All patients underwent symptom self-rating scale (SCL-90 score), and compared the treatment compliance of the two groups of patients, comprehensive evaluation of the clinical care effect of patients. Results The degree of improvement of somatization, obsessive-compulsive disorder, interpersonal relationship, depression, anxiety, hostility, terror, paranoia and psychosis in the observation group was significantly greater than that in the control group before and after treatment(P<0.05 ). The excellent rate of treatment adherence was 88.10% in the observation group, which was significantly higher than that in the control group (66.67%). There was significant difference between the two groups (P<0.05). Conclusion The clinical effect of syphilis-type psychological nursing is obvious and the clinical effect is superior to routine nursing. It can improve the mental state of patients, eliminate the bad psychological factors and improve the compliance rate of treatment compliance. It is worthy of clinical use.
【关键词】梅毒;焦点式心理护理;临床效果
【中图分类号】R275.3
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2017.02.027
前言
梅毒作为梅毒螺旋体感染所引起的慢性、系统性 传染疾病,以硬下疳作为标志性临床特征,结合生殖 系统症状、皮疹及皮肤黏膜损害等为主要表现[1]。由 于梅毒的传染性较强、治愈低及复发率高,严重影响 患者的生活质量,导致患者产生消极的心理状态。此 外,由于梅毒患者对梅毒病情的认知程度较低,治疗 依从性较差,导致延误梅毒病情的诊治,进一步加剧 病情的发展[2]。大量研究表明,对梅毒患者采取心理 护理,有利于改善患者的心理状态,消除消极的心理 状态,协同提高治疗的积极性。但常规护理对梅毒患 者的针对性不强,临床效果缺乏重复性,需进一步提 高心理护理效果;近年来,焦点式心理护理广泛用于临床护理,临床效果显著,得到广泛认可。对此,本 研究旨在探讨梅毒患者实施焦点式心理护理的临床效 果。
罕少疾病杂志
第24卷, 第 2 期
2019年11月
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