The influence of psychological intervention combined with routine nursing on the emotional state and quality of life of outpatients with anxiety disorders
心理干预联合常规护理对门诊焦虑症患者情绪状态及生活质量的影响

摘要

目的 探讨心理干预联合常规护理对门诊焦虑症患者情绪状态、生活质量及干预依从性的影响；方法 选取2020年2月至2025年2月某三甲医院心理门诊确诊的焦虑症患者120例，随机分为实验组和对照组各60例。对照组接受常规护理（用药指导、健康宣教、门诊随访），实验组在此基础上联合认知行为疗法（CBT）、正念减压训练（MBSR）及家庭支持干预，干预周期8周，随访3个月。采用汉密尔顿焦虑量表（HAMA）、世界卫生组织生活质量评定量表（WHOQOL-BREF）及治疗依从性记录表评估效果；结果 ① 情绪状态：实验组干预后HAMA评分较基线显著下降（Δx̄=-12.9，p<0.001），与对照组差异显著（t=8.34，p<0.001）；② 生活质量：实验组WHOQOL-BREF总评分显著高于对照组（76.3±6.4 vs. 64.8±6.2，p<0.001），生理、心理、社会功能维度均改善（p均<0.001）；③ 干预依从性：实验组依从率达93.3%，显著优于对照组（46.7%，x²=6.67，p=0.010）；结论 心理干预联合常规护理可显著改善焦虑症患者情绪状态，提升生活质量，并提高治疗依从性，值得临床推广。

Abstract

Objective To explore the influence of psychological intervention combined with routine nursing on the emotional state, quality of life and intervention compliance of outpatients with anxiety disorders;
Methods A total of 120 patients diagnosed with anxiety disorders in the psychological outpatient department of a tertiary hospital from February 2020 to February 2025 were selected and randomly divided into an experimental group and a control group, with 60 cases in each group. The control group received routine care (medication guidance, health education, and outpatient follow-up), while the experimental group, on this basis, was combined with cognitive behavioral therapy (CBT), mindfulness-based stress reduction training (MBSR), and family support intervention. The intervention period was 8 weeks, and the follow-up period was 3 months. The effects were evaluated by using the Hamilton Anxiety Scale (HAMA), the World Health Organization Quality of Life Rating Scale (WHOQOL-BREF), and the Treatment Compliance Record Form.
Results ① Emotional state: The HAMA score of the experimental group decreased significantly compared with the baseline after the intervention (Δx=-12.9，p<0.001), and was significantly different from that of the control group (t=8.34, p<0.001); ② Quality of life: The total score of WHOQOL-BREF in the experimental group was significantly higher than that in the control group (76.3±6.4 vs. 64.8±6.2, p<0.001), and the dimensions of physical, psychological and social functions were all improved (all p<0.001). ③Intervention compliance: The compliance rate of the experimental group reached 93.3%, which was significantly better than that of the control group (46.7%, χ²=6.67, p=0.010);
Conclusion  s Psychological intervention combined with routine nursing can significantly improve the emotional state of patients with anxiety disorders, enhance their quality of life, and increase treatment compliance. It is worthy of clinical promotion.