协同护理联合心理干预对首发脑卒中患者自我护理能力和负面情绪、生存质量的影响

Effect of Cooperative Nursing Combined with Psychological Intervention on Self- Nursing Ability and Negative Emotion and Quality of Life in First-episode Stroke Patients

【目的】分析协同护理联合心理干预对首发脑卒中患者自我护理能力和负面情绪、生存质量的影响，探讨其临床应用价值。【方法】将本院2014年3月至2017年5月收治的150例首发脑卒中患者随机分为观察组、对照组，各75例，均实施协同护理，观察组加用心理干预。比较两组患者干预前后自我护理能力、负面情绪、生存质量变化，总结协同护理联合心理干预的临床应用价值。【结果】干预3个月后，两组患者自我护理能力测定量表（ESCA）各项目评分及总分均较干预前升高，观察组干预3个月后ESCA评分高于对照组，差异有统计学意义（P〈0．05）。两组患者汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）评分较干预前降低，观察组干预3个月后HAMA评分、HAMD评分均低于对照组，差异有统计学意义（P〈0．05）。两组患者SF-36量表各维度评分均较干预前升高，观察组干预3个月后简明健康测量量表（SF-36）各维度评分均高对照组，差异有统计学意义（P〈0．05）。【结论】协同护理联合心理干预能够有效提高首发脑卒中患者自我护理能力，改善其负面情绪和生活质量，值得广泛应用。

[Objective]To analyze the effect of collaborative nursing combined with psychological intervention on self-care ability, negative emotions and quality of life in patients with first stroke, and to explore its clinical ap- plication value.[Methods]A total of 150 cases of first stroke patients admitted to our hospital from March 2014 to May 2017 were randomly divided into observation group and control group, 75 cases in each group. The changes of self-nursing ability, negative emotion and quality of life were compared before and after the intervention of the two groups, and the clinical application value of cooperative nursing combined with psychological intervention was summarized.[Results]After 3 months＂ intervention, the scores and total scores of the ESCA scale in the two groups were all higher than those before the intervention. After 3 months＂ intervention, the ESCA score in the ob- servation group was higher than that in the control group, the difference was statistically significant （ P〈0.05）. After 3 months＂ intervention, the HAMA scores and HAMD scores of the two groups were lower than those be- fore the intervention. After 3 months＂ intervention, the HAMA scores and HAMD scores in the observation group were all lower than those in the control group, the difference was statistically significant （P〈0.05）. After 3 months＂ intervention, the SF-36 scale scores of the two groups were all higher than those before the intervention. After 3 months＂ intervention, the scores of SF-36 scale in the observation group were all higher than those in the control group, the difference was statistically significant （ P〈0.05）,[Conclusion]Cooperative nursing combined with psychological intervention can effectively improve the self-care ability, improve the negative emotions and quality of life of the first stroke patients, and is worthy of wide application.