交互作用分析理论导向下的团体心理干预在老年脑卒中恢复期患者中的应用效果

Application effect of transactional analysis theory-oriented group psychological intervention in elderly patients recovering from stroke

目的探究交互作用分析(TA)理论导向下的团体心理干预在老年脑卒中恢复期患者中的应用效果。方法选取本院收治的98例老年脑卒中恢复期患者,按照入院顺序不同将其分为对照组和观察组,每组49例。对照组给予常规护理干预,观察组在对照组基础上给予TA理论导向下的团体心理干预。比较两组的干预效果。结果干预后,观察组的美国国立卫生院卒中量表(NIHSS)、焦虑自评量表(SAS)评分低于对照组(P<0.05)。干预后,观察组的自我负担感受量表(SPBS)、日常生活活动能力量表(ADL)评分低于对照组,Herth希望量表(HHI)、汉化南安普顿脑卒中自我管理能力量表(SSSMQ)评分高于对照组(P<0.05)。观察组的满意度高于对照组(P<0.05)。结论TA理论指导下的团体心理干预可调节老年脑卒中恢复期患者的心理状态,降低负担感,增强希望水平,提高自我管理能力,有助于其神经功能好转,进而提升满意度。

Objective To investigate the application effect of transactional analysis(TA)theory-oriented group psychological intervention in elderly patients recovering from stroke.Methods Ninety-eight elderly patients recovering from stroke admitted in our hospital were selected and divided into control group and observation group according to different admission order,with 49 cases in each group.The control group was given routine nursing intervention,and the observation group was given TA theory-oriented group psychological intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the National Institutes of Health Stroke Scale(NIHSS)and Self-Rating Anxiety Scale(SAS)scores of the observation group were lower than those of the control group(P<0.05).After intervention,the scores of Self-Perceived Burden Scale(SPBS)and Activity of Daily Living Scale(ADL)in the observation group were lower than those in the control group,and the scores of Herth Hope Index(HHI)and Southampton Stroke Self-Management Questionnaire(SSSMQ)were higher than those in the control group(P<0.05).The satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion TA theory-oriented group psychological intervention can adjust the psychological state of patients recovering from stroke,reduce the sense of burden,enhance the level of hope,improve self-management ability,contribute to the improvement of neurological function,and then enhance satisfaction.