丧偶老年脑卒中患者的心理干预在康复护理中的应用

Application of Psychological Intervention in the Rehabilitation Nursing Care in Widowed Elderly Patients with Stroke

目的 探讨在康复护理中运用心理干预对丧偶老年脑卒中患者康复的影响.方法 将2009-12~2012-12间收治的72例丧偶老年脑卒中患者按数字法随机分成对照组和实验组,每组各36例患者,对照组给予常规康复治疗及康复护理,实验组除常规康复治疗、护理外,同时给予心理干预,分别采用Fugl-Meyer Assessment（FMA）、临床神经功能缺损评分（NFA）及日常生活能力Barthel指数（BI）对患者治疗前后及心理干预前后患者运动及生活能力进行评分,并进行分析比较.结果 治疗前和干预前两组患者的FMA、NFA及BI 评分比较,差异均无统计学意义（P＞0.05）.治疗及干预7~9周后,对照组FMA、NFA及BI 评分分别为（47.5±177;15.6）、（16.4±177;6.7）、（37.3±177;19.5）分,实验组分别为（59.3±177;19.7）、（11.3±177;5.6）、（53.2±177;23.7）分,两组比较差异均具有统计学意义（P＜0.05）.心理干预后,实验组恢复明显高于对照组.组内比较,治疗前后差异均具有统计学意义（P＜0.05）.结论 在丧偶老年脑卒中患者的康复治疗及护理中运用心理干预能提高其康复及预后的效果.

Objective To investigate the effect of using psychological intervention in the rehabilitation nursing in widowed elderly stroke patients. Methods 72 widowed elderly stroke patients admitted between December 2009 and December 2012, were randomly divided into control group and experimental group, with 36 patients in each group. Control group received conventional rehabilitation treatment and nursing, while the experimental group received conventional rehabilitation and nursing, in addition to receiving psychological intervention. Before and after conventional rehabilitation treatment and nursing , while psychological intervention, the recovery of exercise capacity and life skills were assessed by using Fugl - Meyer Assessment （FMA） and clinical neurological deficit score （ NFA）, and the activities of daily living Barthel Index （BI）. Results Before treatment and intervention, no significant difference was found in the score of FMA, NFA and BI between control group and experimental group （ P 〉 0.05）. After 7 to 9 weeks treatment and intervention, FMA, and BI score of the ex- perimental group were higher than that in the control group [ （59.3 ±19.7） vs （47.5 ±15.6）, （53.2 ±23.7） vs （37.3 ±19.5） ], and NFA score of the experimental group was lower than that in the control group [ （ 11.3 ±5.6 ） vs （ 16.4 ±6.7 ） ], with significant difference （P 〈 0.05 ）. Conclusion Application of psychological intervention in rehabilitation and nursing care can improve the rehabilitation and prognosis effect of widowed elderly stroke patients.