【摘要】 目的:对血管性痴呆(VD)照顾者进行心理评估,探讨其护理干预效果。方法:对76例VD患者的照顾者采用精神症状自评量表(SCL-90)、焦虑自评量表(SAS)及抑郁自评量表(SDS)进行评估,并根据评估存在的心理问题给予护理干预,观察照顾者干预前后的心理状况并与国内常模相比较。结果:VD照顾者SCL-90总分为136.12±35.17,SAS评分为32.12±5.17,SDS评分为36.81±6.15,均高于国内常模(Ρ<0.01);经过3个月的护理干预后,VD照顾者的SCL-90总分及各因子分(除强迫、恐怖、精神病性外)、SAS及SDS评分均较干预前降低(Ρ<0.05),与常模相比无显著性差异(P>0.05)。结论:VD照顾者存在不同程度的心理问题,护理干预可有效改善VD照顾者的心理状况。更多还原

【Abstract】 Objective: To make psychological assessment to caregiver for patients with vascular dementia and study the effectiveness of nursing intervention.Methods: SCL-90,SAS,SDS were used to make assessment to 76 caregiver for patients with vascular dementia and corresponding nursing measures were applied in accordance with their mental disorders,observing mental state of caregivers and comparing the state with the Norm.Results: The total scores of SCL-90 was 136.12 ± 35.17;SAS 32.12 ± 5.17 and SDS was 36.81 ± 6.15.All the scores were higher than that of the Norm(P<0.01).The total scores of SCL-90 and each factor of caregivers except for excluding force,horror and psychosis,the scores of SAS and SDS were lower than that before intervention after 3-month nursing intervention,and there was no significant difference comparing with Norm(P>0.05).Conclusion: Caregivers for patients with vascular dementia have mental disorder in different degree.Nursing intervention can effectively improve caregiver’s mental condition.更多还原