脑卒中患者的心理评定及护理

Psychological assessment and nursing countermeasure of patients with brain stroke

目的研究脑卒中患者的心理状态及护理对策。方法采用抑郁自评量表(SDS)及焦虑自评量表(SAS),对100例脑卒中患者患病1周后进行评定。结果脑卒中患者SDS积分:脑力劳动高于体力劳动者,有偏瘫高于无偏瘫者,完全性瘫痪高于不完全瘫痪者,出血性大于缺血性者,且均具有显著性差异(P<0.05或P<0.01);不同病程、男女抑郁无显著性差异(P>0.05)。SAS积分:病程≥5年高于<5年者,脑力劳动高于体力劳动者,有偏瘫高于无偏瘫者,完全性瘫痪高于不完全瘫痪者,出血性大于缺血性者,且均具有显著性差异(P<0.05或P<0.01);男女间焦虑无显著性差异(P>0.05)。结论脑卒中患者常伴随抑郁和焦虑症状,在药物治疗同时给予心理护理,以促进疾病康复。

Objective To explore the psychological state and nursing countermeasure of patients with brain stroke. Methods SAS and SDS were used to surveyed 100 patients with brain stroke 1 week after hospitalization. Results About SDS score, mental worker was higher than physical worker, patient with hemiplegy was higher than the healthy, patient with complete hemiplegy was higher than patient with partial one, patient with haemorrhage was higher than patients lack of blood. All showed significant differences (P<0.05 or P<0.01). About depression, no significant difference was found between male and female (P>0.05). About SAS score, for those who had more than 5 years course of disease wa higher than those less than 5 years, mental worker was higher than physical worker, patient with hemiplegy was high than the healthy, patient with complete hemiplegy was higher than patient with partial one, patient with haemorrhage was higher than patient lack of blood (P<0.05 or P<0.01). About anxiety, no significant difference was found between male and female (P>0.05).Conclusion For patients with brain stroke are usually accompanied by depression and anxiety, they should be given mental care while undergoing medicine treatment so as to promote the recovery.