康复护理结合心理干预对脑卒中患者中的应用

Application of the rehabilitation nursing combined with psychological intervention in patients with stroke

目的分析康复护理结合心理干预对脑卒中患者中的应用效果。方法选取我院收治的脑卒中患者166例,采取数字随机法分成观察组和对照组,对照组采取康复护理,观察组在此基础上,采取心理干预,比较两组护理方式应用效果。结果两组护理4、8周Fugl-Meyer、FIM评分均高于护理前,差异有统计学意义(P<0.05)。两组护理8周Fugl-Meyer评分均高于护理4周,差异有统计学意义(P<0.05)。观察组护理8周Fugl-Meyer评分高于对照组,差异有统计学意义(P<0.05)。观察组护理4、8周FIM评分均高于对照组,差异有统计学意义(P<0.05)。观察组护理4、8周神经功能缺损评分、Bathel指数均优于护理前,差异有统计学意义(P<0.05)。对照组护理4、8周神经功能缺损评分优于护理前,护理8周Bathel指数优于护理前,差异有统计学意义(P<0.05)。两组护理8周神经功能缺损评分、Bathel指数均优于护理4周,差异有统计学意义(P<0.05)。观察组护理8周神经功能缺损评分、Bathel指数均优于对照组,差异有统计学意义(P<0.05)。两组护理后SAS及SDS评分均低于护理前,差异有统计学意义(P<0.05)。观察组护理后SAS及SDS评分均低于对照组,差异有统计学意义(P<0.05)。结论康复护理结合心理干预对脑卒中患者十分有利,可明显改善患者各项评分,是优秀的护理方法。

Objective To analyze the effect of rehabilitation nursing combined with psychological interventionon patients with stroke.Methods166stroke patients in our hospital were selected and randomly divided into theobservation group and the control group.Patients in control group were treated with rehabilitation nursing,on thebasis of this,patients in observation group were treated with application effect of psychological intervention.Theapplication effect of the two nursing methods was compared.Results The Fugl-Meyer and FIM scores of the twogroups were higher than those before nursing at the end of the4and8weeks,and the difference was statisticallysignificant(P<0.05).The8groups of Fugl-Meyer score of the two groups were higher than those of nursing for4weeks,the difference was statistically significant(P<0.05).The Fugl-Meyer score of the observation group washigher than that of the control group at8weeks,the difference was statistically significant(P<0.05).The FIM scoreof the observation group was higher than that of the control group at4and8weeks,the difference was statisticallysignificant(P<0.05).The neurological deficit score and Bathel index of the observation group were better thanthose before nursing at4and8weeks after treatment,and the difference was statistically significant(P<0.05).Inthe control group,the neurological deficit score of4and8weeks after treatment was better than that before nursingcare,and the Bathel index was better than that before nursing at the end of the nursing for8weeks,the difference wasstatistically significant(P<0.05).The neurological deficit score and Bathel index of two groups were better thanthose of nursing for4weeks,and the difference was statistically significant(P<0.05).The neurological deficit scoreand Bathel index of the observation group were better than those of the control group at8weeks,the difference wasstatistically significant(P<0.05).The SAS and SDS scores of the two groups were lower than those before nursing,and the difference was statistically significant(P<0.05).The SAS and SDS scores of the observation group were lowerthan those of the control group,the difference was statistically significant(P<0.05).Conclusion The rehabilitationnursing combined with psychological intervention for stroke patients is very beneficial.It can significantly improve thescore of patients,is an excellent nursing method.