家属行心理护理对脑卒中患者康复的影响

Influence of Psychological Nursing for Family Members on Rehabilitation of Stroke Patients

目的:探讨家属行心理护理对脑卒中患者康复的影响。方法:将2018年1月1日~2019年6月1日收治的90例脑卒中患者按照随机数字表法分为干预组和对照组各45例,对照组实施常规护理干预,干预组在常规护理基础上对患者家属实施心理护理;比较两组干预前后残疾程度[采用脑卒中残损评价表(SIAS)]、生活自理能力[采用Barthel自理能力评定量表]、生活质量[采用日常生活能力量表(ADL)]及感染情况。结果:干预后,干预组SIAS中运动功能、肌张力、躯干平衡、健侧肢体功能及总评分均高于对照组(P<0.01,P<0.05);干预后,两组Barthel、ADL评分均高于干预前(P<0.01),且干预组高于对照组(P<0.01);干预组感染发生率低于对照组(P<0.05)。结论:对脑卒中患者家属实施心理护理,可促进患者病情康复,降低感染发生率,从而提高患者生活质量。

Objective:To explore the effect of psychological nursing for family members on rehabilitation of stroke patients.Methods:A total of 90 stroke patients admitted from January 1,2018 to June 1,2019 were divided into the intervention group and the control group with 45 cases each according to the random number table method.The control group received routine nursing intervention,and the intervention group received psychological nursing for the patients′family members on the basis of routine nursing.The disability level(SIAS),self-care ability(Barthel Assessment Scale),quality of life(ADL)and infection were compared between the two groups.Results:After intervention,the score of motor function,muscle tone,trunk balance,limb function and total score of SIAS in the intervention group were all higher than those in the control group(P<0.01,P<0.05).Barthel and ADL scores in both groups were higher after intervention than before(P<0.01),and those in the intervention group were higher than those in the control group(P<0.01).The incidence of infection in the intervention group was lower than that in the control group(P<0.05).Conclusion:Psychological nursing for family members of stroke patients can promote the rehabilitation of patients,reduce the incidence of infection,and thus improve the quality of life of patients.