杨璐炜 杨阳 马盼盼 王威 孙彩悦 刘宏阳

[摘要]目的探索香薰療法对住院危重患者焦虑抑郁的影响。方法从牡丹江医学院附属红旗医院2017年2月至2020年2月选取120例住院危重患者作为研究对象，随机抽取并将患者分为观察组（ n=60）和对照组（ n=60）。对照组应用常规治疗方法，观察组在常规用药治疗方法上加用香薰疗法。采用焦虑自评量表（SAS）和抑郁自评量表（SDS）对患者的焦虑、抑郁情况进行评价，统计两组患者治疗期间发生的不良反应，计算不良反应发生率。结果治疗7 d 后，观察组 SAS 评分为（24.86±3.16）分，显著低于对照组的（40.92±5.20）分，观察组 SDS 评分为（28.75±4.17）分，显著低于对照组的（48.09±6.23）分，差异均有统计学意义（ P <0.05）。治疗期间观察组不良反应发生率为3.33%，明显低于对照组的28.33%，差异有统计学意义（ P <0.05）。结论住院危重患者应用香薰疗法后能够有效改善患者焦虑、抑郁情绪，并且能够显著降低患者治疗期间的不良反应。

[关键词]香薰疗法;住院危重患者;焦虑抑郁;不良反应

[中图分类号] R473  [文献标识码] A   [文章编号]2095-0616（2021）23-0234-03

Impact of aromatherapy on adverse emotion of hospitalized critically ill patients and analysis of its adverse reactions

YANG  Luwei    YANG  Yang    MA  Panpan    WANG  Wei    SUN  Caiyue    LIU  Hongyang

Department of Psychiatry， Hongqi Hospital Affiliated to Mudanjiang Medical University， Heilongjiang， Mudanjiang 157000， China

[Abstract] Objective To investigate the impact of aromatherapy on anxiety and depression of hospitalized critically ill patients. Methods A total of 120 hospitalized critically ill patients admitted to Hongqi Hospital Affiliated to Mudanjiang Medical University from February 2017 to February 2020 were randomly selected as research objects， and they were randomly divided into the observation group （n=60） and the control group （n =60）. The control group was applied with conventional therapy， while the observation group was applied with aromatherapy on the basis of conventional medication. Self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were used to evaluate patients' anxiety and depression， and the adverse reactions occurred during treatment in the two groups of patients were counted and the incidence was calculated. Results 7 days after treatment， the SAS scores of the observation group were （24.86±3.16） points， significantly lower than （40.92±5.20） points in the control group， while SDS scores of the observation group were （28.75±4.17） points， significantly lower than （48.09±6.23） points， with statistically significant differences （P <0.05）. During treatment， the incidence of adverse reactions in the observation group was 3.33%， significantly lower than 28.33% in the control group， with statistically significant difference （P <0.05）. Conclusion The application of aromatherapy can effectively improve the anxiety and depression of hospitalized critically ill patients and can significantly reduce the adverse reactions of patients during treatment.

[Key words] Aromatherapy; Hospitalized critically ill patients; Anxiety and depression; Adverse reactions

住院危重患者病情较为严重，且发病较为突然，患者容易出现焦虑、抑郁等不良心理情绪，一定程度上会影响治疗效果[1-3]。西医治疗住院危重患者抑郁、焦虑疾病主要采用药物治疗的方式，因此可能会出现由于长期服用药物而导致患者出现不良反应的情况[4-6]，而中医在治疗焦虑、抑郁等疾病上具有长期疗效显著，且毒副作用少的优点，因此逐渐应用于多种疾病导致的不良心理情绪的治疗中并且获得良好的效果[7-10]。本研究探讨香薰疗法应用到住院危重患者焦虑、抑郁的治疗效果，从而为临床医师改善患者不良心理情绪提供一定的参考依据，现报道如下。

1资料与方法

1.1一般资料

选取牡丹江医学院附属红旗医院2017年2月至2020年2月选取120例住院危重患者作为研究对象，随机抽取并将患者分为观察组（ n=60）和对照组（ n=60）。……