特殊护理在急性脑梗死患者中的应用效果

Application effect of special care in patients with acute cerebral infarction

目的探讨特殊护理在急性脑梗死（CI）患者中的应用效果。方法选取2013年2月~2015年3月我院收治的89例急性CI患者,将其随机分为对照组（45例）与观察组（44例）。对照组给予常规护理方法,观察组在常规护理基础上给予特殊护理,比较两组患者抑郁和焦虑情绪状态以及护理满意度。结果干预后,两组的汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）评分均显著下降,且观察组的HAMA和HAMD评分低于对照组（P〈0.05）。观察组的护理总满意度为72.73%,显著高于对照组的33.33%,差异有统计学意义（P〈0.05）。结论综合全面的特殊护理对于改善急性CI患者的负性心理以及建立和谐的护患关系具有重要作用,值得推广应用。

Objective To probe into the application effect of special care in patients with acute cerebral infarction（CI）.Methods 89 patients with acute CI admitted into our hospital from February 2013 to March 2015 were selected.They were randomly divided into control group（45 cases） and observation group（44 cases）.In the control group,conventional nursing was used,while in the observation group,on the basis of the conventional nursing,special care was provided.Depression and anxiety,nursing satisfaction in two groups were compared. Results After the intervention,scores of Hamilton anxiety scale（HAMA） and Hamilton depression scale（HAMD） in two were significantly decreased,and HAMA and HAMD scores in observation group were lower than those of control group（P〈0.05）.Nursing total satisfaction in observation group was 72.73%,which was significantly higher than 33.33% of control group（P〈0.05）. Conclusion Comprehensive special care plays an important role in improving patient′s negative psychology and establishing stable relationship between nurse and patient,which is worthy of promotion and application.