首次脑卒中患者心理状况及心理护理效果分析

目的探讨首次脑卒中患者的心理状况及心理护理干预效果。方法采用症状自评量表(SCL-90)调查67例首次脑卒中患者和60例健康体检者,结果进行对照研究;采用SCL-90分别在心理护理干预之前和之后调查其中55例没有使用抗焦虑抑郁药物的首次脑卒中患者,对前后两次结果进行对照研究。结果首次脑卒中患者不良心理问题发生率为56.7%,远高于对照组11.7%(P<0.01);首次脑卒中组的SCL-90总分、阳性项目数、人际关系敏感、抑郁、焦虑、恐惧因子得分高于对照组(P<0.01或P<0.05);心理护理干预后,SCL-90总分、阳性项目数、焦虑、恐惧得分明显降低(P<0.05或P<0.01)。结论首次脑卒中患者有许多心理问题;心理护理干预有助于患者心理状况的改善。

Objective To study the psychological status of patients with first stroke and the effect of psychological nursing.Methods The Symptom Checklist 90（SCL-90） was used to rated patients with first stroke（observation group,n=67） and people come from the department of physical examination（control group,n=60）.The SCL-90 was used to rated patients with first stroke Who had no been treated with anti anxiety or antidepressant drugs（n=55） before and after psychological nursing.Results The prevalence rates of psychological problems inobservation group was 56.7%,more than that of control group（11.7%,P〈0.01）.The total score,positive items and the score of the interpersonal sensitivity,depression,anxiety,phobia anxiety of the patient group are higher than those of the control group（P〈0.01 or P〈0.05）.After psychological nursing,the total score,positive items and the score of anxiety and phobia anxiety significantly reduced（P〈0.01 or P〈0.05）.Conclusion The patients with first stroke have many mental symptoms,psychological nursing can improve their psychological status