脑血管意外患者心理障碍的预见性护理

Predictive nursing for patients with cerebrovascular accident

目的探讨预见性护理措施对脑血管意外患者心理状态和生活质量的影响。方法选取2010年3月~2014年10月期间于我院就诊的因动脉瘤破裂出血而导致的脑血管痉挛患者66例作为本研究的实验对象,随机分为实验组33例和对照组33例,其中对照组的患者进行常规的普通护理,而实验组接受预见性护理干预,对比两组患者的焦虑自评量表SAS分值、抑郁自评量表SDS分值以及生活质量QL分值来评估各组护理模式的效果。结果经过各自护理干预1个月后,实验组患者的SAS、SDS分值明显低于常规护理组患者,而QL分值显著高于对照组,差异具有统计学意义（P〈0.05）。结论预见性的护理干预能够明显改善动脉瘤破裂出血而导致的脑血管痉挛患者的心理状态,提高生活质量,值得临床推广应用。

Objective To explore the effects of predictable nursing on psychological status and life quality of patients with cerebral vasospasm. Methods 66 cases of patients with cerebral vasospasm in our hospital from March 2010 to October 2014 were randomly divided into the control group and the study group. Patients in the control group were treated with conventional treatment and care measures;patients in the study group were treated with predictable nursing on the basis of conventional care. Compare the SDS score,SAS score and Quality of Life Scores QL of these two groups before and after the intervention. Results After predictable nursing intervention,the SAS and SDS scores of the study group were significantly lower than control group’s（P〈0.05）;the Quality of Life Scores QL score of the study group was significantly higher than control group’s（P〈0.05）. Conclusion Predictable nursing has better effect on improving patients’ psychological status and enhancing their life quality.