脑卒中伴肢体功能障碍康复期心理变化及护理对策研究

Study to Psychological Transform and Nursing Strategy in Convalescence Stage of Stroke Patients

目的:评估伴有肢体功能障碍的脑卒中病人康复期心理变化特点,探讨不同心理状态下针对性心理护理干预措施及效果。方法:对60名遗有肢体功能障碍脑卒中恢复期患者,随机分为对照组及干预组,采用汉密尔顿心理焦虑及抑郁评分量表连接评估心理状态,评估病人康复期间的心理变化特点,对照组给予一般护理,干预组依据不同心理状态给予相应心理干预。结果:在伴有肢体功能障碍脑卒中病人恢复早期,病人多存在焦虑心理,在恢复中晚期,病人的焦虑心理状态得以舒缓,抑郁心理是主要的心理异常方式,同对照组相比,干预组康复期各阶段焦虑及抑郁评分低于对照组。结论:在伴有肢体功能障碍脑卒中病人恢复期不同时间,病人呈现不同的心理状态,在护理过程依据病人不同的心理状态采取护理干预措施,有助于改善病人的心理异常,取得较好干预效果。

Objective：To evaluate psychological transform in convalescence stage of stroke patients with limbs disturbance,investigate effect of nursing strategy in corresponding convalescence stage. Methods：To consecutively evaluate psychological condition of convalescence stage with Hamilton Anxiety Scale（HAMA） and Hamilton Depression Rating Scale for Depression（HRSD） to 60 stroke patients that have been randomly divid in control group and experimental group,to observe the regularity of psychological transform,to take corresponding psychological according to psychological condition in experimental group and conventional nursing in control group. Results：In morning convalescence stage of stroke patients with limbs disturbance,the patients was anxious,in metaphase and later stage,the anxious psychological condition release, depression was major condition of psychologic obstacle, in comparison with control group,the scale of HAMA and HRSD was lower in eaperimentaI. Conclusions： the stroke patients with limbs disturbance have different psychological condition in different period of convalescence stage,in process of nursing, taking corresponding psychological nursing intervention would be helpful to treat psychologic obstacle and receive good nursing effect.