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      关于试议甲亢患者心理类型及护理的网站位置: >> 心理学论文 >> 大学生心理论文 >> 浏览文章
      试议甲亢患者心理类型及护理的

      论文导读:焦虑感。甲亢患者自主神经系统功能失常,常有紧张不安、注意力不集中、甚至有精神分裂症表现。有焦虑情绪的患者,对于生理上细微的不舒服就会表现得过于关注。而有恐惧情绪的患者对周围的环境包括人际关系、家庭、医护人员的专业水平、治疗方式都具有恐惧害怕的情感认知。甲亢患者年轻女性较多,对外表比较在意,而甲亢患者常有

      甲亢患者心理类型分析及护理的探讨摘要:目的:分析甲亢患者的心理类型,探讨护理策略。策略:对102例甲亢患者随机分为观察组和对照组各51例。观察组根据患者心理类型给予针对性护理,对照组给予一般护理,比较两组SCL-90量表得分。结果:观察组和对照组各51例,护理后,躯体化、抑郁、敌对、人际关系、焦虑、恐怖、偏执7个因子得分两组护理前后差异显著(P<0.05);且观察组护理后7个因子得分高于对照组(?P<0.05)。观察组依从性好的比例为98.04%,对照组为86.27%(?P<0.05)。结论:根据甲亢患者的心理类型给予针对性护理,可以提高治疗依从性,降低患者不良情绪。
        关键词:甲亢;心理;护理
        甲亢(甲状腺功能亢进症)是临床常见内分泌疾病,可导致消化系统、循环系统、神经系统等的兴奋性增高以及代谢亢进 [1]。心理因素对甲亢疾病的发病和治疗均具有很大影响。因此,针对甲亢患者的类型进行针对性的护理和疏导,有助于疾病的治疗。
        1 资料与策略
        1.1资料 选择我院从2011年10月~2013年10月收治的102例甲亢患者,随机分为观察组和对照组各51例,观察组51例中,年龄21~75岁,平均(36.76±3.16)岁,病程9个月~9年,平均(3.24±0.74)年。对照组51例中,年龄22~74岁,平均(35.73±3.12)岁,病程8个月~9年,平均(3.57±0.84)年。两组性别、年龄差异无统计学作用(P>0.05)。
        1.2策略 观察组根据甲亢患者的心理类型特点给予针对性护理,对照组给予一般护理。
        1.2.1焦虑恐惧型 该类型患者临床多见,可能与疾病、环境的变化有关。甲亢由于病程较长,易反复发作,容易引起焦虑感。甲亢患者自主神经系统功能失常,常有紧张不安、注意力不集中、甚至有精神分裂症表现[2]。有焦虑情绪的患者,对于生理上细微的不舒服就会表现得过于关注。而有恐惧情绪的患者对周围的环境包括人际关系、家庭、医护人员的专业水平、治疗方式都具有恐惧害怕的情感认知。甲亢患者年轻女性较多,对外表比较在意,而甲亢患者常有外貌上的转变,使她们对疾病比较悲观[3-4]。这两种情绪持续过长均不利于患者的治疗和康复。这种类型护理时语言要柔和,态度要亲切,解释要耐心,鼓励患者配合治疗。让患者明白不良情绪对治疗的负面影响,帮助他们学会自我克制, 避开情绪激动。
        1.2.2急躁多疑型 这类患者性格暴躁,缺乏自制力,可能会为一点小事而动怒,常常无端责骂医护工作者或者周围的人,不配合护理和治疗。甲亢患者几乎都有情绪转变,易激惹[5]。表现为敏感、急躁易怒,处理日常生活能力下降[6] ;だ砣嗽碧纫胶,尽量的避开出现所有可能引起患者情绪波动的因素[7]。对患者的病情要保密,尊重其人格,;て渥宰鹦,帮助患者解决困难,取得患者信任,使其主动配合其治疗。
        1.2.3茫然漠然型 这类患者自身的耐受力比较强,对自己的病情认识不清,不注意症状表现或轻视自身病情,发现症状也不及时就医,常常延误治疗时机。就诊治疗后经常中断治疗,认识不到治疗的重要性。该类患者需要通过多种方式来进行说服教育,让其认识到治疗对战胜疾病的作用,提高其配合治疗积极性,提醒其按时服药、按时检查,帮助其提高治疗依从性。该类型多见于老年人,更需要护理人心的耐心、周到、热情护理。
        1.2.4 自暴自弃型 患者患病已久,不坚持治疗,久治不愈,或者已经出现并发症,对治疗丧失了信心,产生了抵触情绪,对医务人员不信任,不配合治疗甚至有厌世情结[8]。医护人员要主动与其交流,向其提供专业的治疗手段和丰富的甲亢医疗信息,取得其信任,树立起康复的信心,克服其消极情绪,让其主动参与到治疗护理工作。并说服家属、同室病友主动关心他们,预防其自杀或伤害别人等不良行为。
        1.3效果评价 采用症状自评量表( SCL-90) 在护理前后对患者的心理状态进行测评。测试包括躯体化、抑郁、敌对等9个因子。每条项目评分从无、轻度、中度、比较严重、严重计为0~4分。
        1.4统计学策略 所有数据输入SPSS17.0软件包,计量资料用t检验,计数资料用χ2检验。
        2 结果
        2.1两组SCL-90量表得分比较 护理前,两组躯体化、抑郁、敌对、人际关系、焦虑等9个因子得分差异无统计学作用(P>0.05);だ砗,精神病型、强迫症状得分两组差异无统计学作用(P>0.05)。躯体化、抑郁、敌对、人际关系、焦虑、恐怖、偏执7个因子得分两组护理前后差异均有统计学作用(P<0.05);且观察组护理后7个因子得分高于对照组,差异有统计学作用(?P<0.05),见表1。
        表1两组SCL-90量表得分比较
        2.2两组依从性比较 护理后,观察组依从性好的50例,比例为98.04%,对照组依从性好的44例,比例为86.27%,两组差异有统计学作用(χ2=4.88,P<0.05)。见表2。
        表2 两组依从性比较
        3讨论
        甲亢患者由于长期受疾病的影响,精神紧张,导致包括神经和内分泌系统等多系统受到影响,引起一系列异常心理表现。甲亢的发生、发展与心理因素密切相关[9],许多患者患病前均经过疲劳或精神刺激因素。因此,给予患者心理护理对疾病的治疗有重要作用。由于个体的差异,患者的心理类型表现多样,有的以焦虑恐惧为主、有的表现为暴躁多疑,有的表现为茫然漠然,有的甚至自暴自弃。类型不同,需要的帮助和关怀侧重点也不一样;だ砣嗽庇φ攵曰颊叩谋硐,仔细分析,从患者生理、心理和社会各方面进行评估,制定系统的计划,提出针对性的护理措施,给予针对性的心理疏导,减轻患者负面情绪,使其以良好的心态主动配合治疗,这样才会取得事半功倍的效果。但是在实际工作中,患者的情绪不是单一存在,也不是一成不变的,往往多种情绪交叉在一起,在不同阶段表现为不同的情绪,应根据实际情况综合分析,给予针对性的心理疏导[10]。同时让患者家属了解患者的不良情绪是由疾病引起,是临床表现的一部分,让家属和周围的人多一些理解和宽容,多一些关心,以减轻患者压力。同时,患者也要学会自我克制不良情绪,养成良好的习惯,保持良好心 全文地址:http://www.abcanuncios.com/dxsxllw/lw44834.html
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