心理干预对脑卒中长期卧床患者照顾者负性情绪的影响

Effects of psychological intervention on negative emotion of caregivers of bedridden patients with stroke

目的:探讨心理干预对脑卒中长期卧床患者照顾者负性情绪的影响。方法:选择脑卒中长期卧床患者照顾者52例,随机分为干预组和对照组各26例,2组均给予药物维持治疗,应用照顾者压力指标(CSI)及焦虑自评量表(SAS)、抑郁自评量表(SDS)评估患者照顾者的负性情绪及压力源,并针对性给予干预组心理护理干预。结果:52例照顾者的负性情绪的压力源主要来自于患者家属(82.7%)、照顾者自身经济状况(75.0%)及身体素质(71.2%)等。干预1个月后,干预组焦虑及抑郁例数均较干预前及对照组明显下降(P<0.05)。对照组干预前后比较差异无统计学意义。结论:心理干预能够改善脑卒中长期卧床患者照顾者的负性情绪。

Objective ：To explore the effects of the psychological intervention on the negative emotion of caregivers of bedridden patients with stroke .Methods ：Fifty-two caregivers of bedridden patients with stroke were randomly di-vided into the psychological intervention group and the control group （n=26 cases in each group） .CSI ,self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were applied to assess negative emotions and stressor of 52 caregivers .The control group was given conventional therapy .Additionally ,the intervention group was applied to specific psychological nursing intervention according to the results of scales＆#39;analysis .Results ：The stressor of 52 car-egivers＆#39;negative emotions mainly came from patients＆#39;relatives （82 .7% ） ,caregivers＆#39;economic condition （75 .0% ） , physical quality （71 .2% ） ,etc .After one-month intervention ,the number of anxiety and depression cases in the in-tervention group was significantly less than that before the intervention and the control group （P〈0 .05） .There was no significant difference in the above parameters in the control group before and after intervention .Conclusion ：Psy-chological intervention can improve the negative emotions of caregivers of bedridden patients with stroke .