赋能心理干预模式对重症脑梗死患者应激及睡眠状况的影响

Influence of Empowering PsychologicalIntervention Mode on Stress and Sleep Statusin Severe CerebralInfarction

目的研究赋能心理干预模式对重症脑梗死患者应激障碍及睡眠状况的影响。方法选择本院2019年6月~2021年6月110例重症脑梗死患者作为研究对象,按随机数字表法分为观察组和对照组各55例。对照组给予常规治疗及护理,观察组在对照组的基础上采取赋能心理干预。比较两组的创伤后应激障碍量表(PCL-C)、美国国立卫生研究院卒中量表(NIHSS)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、匹兹堡睡眠质量指数(PSQI)。结果干预后,对照组的PCL-C评分、NIHSS评分显著高于观察组,差异有统计学意义(P<0.05)。干预后,对照组的HAMA、HAMD评分显著高于观察组,差异有统计学意义(P<0.05)。干预后,对照组的PSQI评分显著高于观察组,差异有统计学意义(P<0.05)。结论赋能心理干预模式可显著降低重症脑梗死患者的应激障碍程度及负性情绪,改善其睡眠质量。

Objective To study the effect of empowering psychological intervention mode on severe cerebral infarction stress disorder and sleep status.Methods A total of 110 patients with severe cerebral infarction in our hospital from June 2019 to June 2021 were selected as the research objects,and were divided into observation group and control group with 55 cases in each group according to the random number table method.The control group was given conventional treatment and nursing care,and the observation group was given empowerment psychological intervention on the basis of the control group.The Post-Traumatic Stress Disorder Scale(PCL-C),The National Institutes of Health Stroke Scale(NIHSS),Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),and Pittsburgh Sleep Quality Index(PSQI)were compared between the two groups.Results After the intervention,the PCL-C score and NIHSS score of the control group was significantly higher than that of the observation group,and the difference was statistically significant(P<0.05).After the intervention,the HAMA and HAMD scores of the control group were significantly higher than those of the observation group,and the difference was statistically significant(P<0.05).After the intervention,the PSQI score of the control group was significantly higher than that of the observation group,and the difference was statistically significant(P<0.05).Conclusion Empowering psychological intervention mode can significantly reduce the degree of stress disorder and negative emotions in patients with severe cerebral infarction,and improve their sleep quality.