谭艳　袁军　钟英云

[摘要] 目的 探讨循证护理在改善神经梅毒患者负性情绪及其生活质量中的应用效果。 方法 选取本院2011年5月～2014年5月收治的46例神经梅毒患者为观察对象，采用计算机随机分组的方式将患者分为对照组和观察组，对照组患者给予常规住院护理措施，而观察组则在常规住院护理的基础上给予改善负性情绪的循证护理措施，对比分析两组患者的SAS、SDS评分及生活质量各维度评分。 结果 两组干预后的SAS、SDS评分均低于干预前及对照组（P<0.05）。两组干预后的生活质量各维度评分高于干预前及对照组（P<0.05）。 结论 循证护理模式应用于神经梅毒患者能够有效缓解患者的焦虑抑郁等负性情绪，提高其生活质量，适宜临床推广。

[关键词] 循证护理；神经梅毒；心理干预；效果；生活质量

[中图分类号] R377+.1 [文献标识码] A [文章编号] 1674-4721（2015）01（b）-0193-04

Evidence-based nursing in anxiety-depression of patients with neurosyphilis

TAN Yan YUAN Jun ZHONG Ying-yun

Department of Dermatology and Sexually Transmitted Disease，Shenzhen Nanshan District for Chronic Disease Prevention and Treatment，Shenzhen 518000，China

[Abstract] Objective To explore the application effect of evidence-based nursing on improving negative emotion and quality of life in patients with neurosyphilis. Methods From May 2011 to May 2014，46 patients with neurosyphilis in our hospital were selected as observational objects.By random grouping in computer， all patients were divided into the control group and observation group.In the control group，regular hospitalization nursing was provided，while in the observation group， on the basis of regular nursing，evidence-based nursing aiming at improving negative emotion was added.The SAS，SDS score and each dimension score of quality of life in the two groups were comparatively analyzed. Results SAS，SDS score in the observation group was respectively lower than that before intervention and the control group （P<0.05）.Each dimension score of quality of life in the observation group was higher than that before intervention and the control group （P<0.05）. Conclusion Evidence-based nursing applied in patients with neurosyphilis can effectively alleviate negative emotion of patients such as anxiety and depression，etc. and improve their quality of life，which is suitable for clinical expansion.

[Key words] Evidence-based nursing；Neurosyphilis；Psychological intervention； Effect；Quality of life

神经梅毒为苍白密螺旋体感染神经系统所引起的疾病，该病患者有很强的病耻感，无法和其他人倾诉，焦虑抑郁等负性情绪无法宣泄，严重影响其生活质量[1-2]。如何最大限度地帮助患者摆脱精神煎熬一直困扰着学者们和护理人员，成为他们关注的焦点问题。循证护理的出现，以临床护理服务为中心，综合考虑临床经验与患者及照料者的需求、科研等多方面情况来设定护理方案能够做到及时处理患者的实际情况[3-4]。迄今为止，尚未见到神经梅毒患者焦虑抑郁情绪的循证护理相关报道，为此，笔者尝试探讨循证护理对本院收治的神经梅毒患者负性情绪及其生活质量的作用，获得满意效果。

1 资料与方法

1.1 一般资料

选取本院2011年5月～2014年5月收治的46例神经梅毒患者为观察对象。患者均能够与医师有效交流，不存在交流沟通障碍，自愿参加本次研究，并签署书面知情同意书。……