摘要
目的:探讨心理护理干预对中青年缺血性脑卒中患者负性情绪及康复的影响。方法:选择2019年7月—2021年7月河南大学第一附属医院收治的156例中青年缺血性脑卒中患者作为研究对象,采用随机数表法分为对照组与观察组,每组各78例。对照组开展常规护理,观察组在对照组基础上采用心理护理干预。比较两组患者干预前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、遵医行为、日常生活能力[日常生活能力量表(BI)]及护理满意度情况。结果:干预前,两组患者SAS评分、SDS评分比较,差异无统计学意义(t=0.273、0.191,P>0.05);干预后,观察组SAS评分、SDS评分低于对照组,差异有统计学意义(t=4.309、7.382,P<0.05)。干预前,两组患者遵医行为评分、BI评分比较,差异无统计学意义(t=1.455、0.462,P>0.05);干预后,观察组遵医行为评分、BI评分高于对照组,差异有统计学意义(t=5.327、6.372,P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(χ2=6.797,P<0.05)。结论:心理护理干预应用于中青年缺血性脑卒中患者,能有效减轻患者焦虑、抑郁情绪,提升患者遵医行为与日常生活能力,提高患者满意度。
Objective:To explore the effect of psychological nursing intervention on the negative emotion and rehabilitation of young and middle-aged patients with ischemic stroke.Methods:156 young and middle-aged ischemic stroke patients admitted to the hospital from July 2019 to July 2021 were selected as the study subjects and were divided into control group and observation group using the random number table method,with 78 cases in each group.The control group carried out conventional care,and the observation group used psychological care intervention on the basis of the control group.The negative mood(Self-Assessment Scale for Anxiety[SAS],Self-Rating Scale for Depression[SDS]),compliance behavior,ability to perform daily living(BI of the Ability to Perform Daily Living Scale)and satisfaction with care were compared between the two groups before and after the inter⁃vention.Results:There was no statistically significant difference in SAS scores and SDS scores between the two groups before the intervention(t=0.273,0.191,P>0.05).SAS scores and SDS scores were lower in the observation group than in the control group af⁃ter the intervention,with statistically significant differences(t=4.309,7.382,P<0.05).There was no statistically significant difference in the compliance behavior scores and BI scores between the two groups before the intervention(t=1.455,0.462,P>0.05).The compliance behavior scores and BI scores of the observation group were higher than those of the control group after the intervention,with statistically significant differences(t=5.327,6.372,P<0.05).The observation group had higher nursing satisfac⁃tion than the control group,and the difference was statistically significant(χ2=6.797,P<0.05).Conclusion:Psychological care in⁃terventions applied to young and middle-aged ischemic stroke patients can effectively reduce patients’anxiety and depression,im⁃prove patients’compliance behavior and daily living ability,and increase patients'satisfaction.
作者
许艳华
张彩霞
申冉冉
XU Yan-hua;ZHANG Cai-xia;SHEN Ran-ran(The First Affiliated Hospital of Henan University,Kaifeng,Henan,475001,China)
出处
《黑龙江医学》
2023年第11期1396-1398,共3页
Heilongjiang Medical Journal
关键词
中青年
缺血性脑卒中
心理护理
负性情绪
康复
遵医行为
日常生活能力
Young and middle-aged
Ischemic stroke
Psychological care
Negative emotions
Rehabilitation
Compliance be⁃havior
Daily living ability