整体干预对高血压脑出血患者的应用效果及对患者负性情绪的影响

Effect of a holistic intervention on patients with hypertensive intracerebral hemorrhage and its influence on the negative emotion

目的探讨整体干预对高血压脑出血患者的应用效果及对患者负性情绪的影响。方法收治的高血压脑出血患者92例随机分为对照组和观察组,每组46例,对照组和观察组患者分别采用常规干预和整体干预措施,比较2组患者的干预效果[Barthel指数(BI),美国国立卫生院神经功能缺损评分量表(NIHSS),自制调查问卷评估患者知识掌握度、康复锻炼掌握度和治疗方法认知度,Fugl-meyer运动功能评分]和负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]改善情况。结果2组干预前SAS、SDS评分比较,差异无统计学意义(P>0.05)。2组干预后SAS、SDS分低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。2组干预前的Barthel指数(BI)和美国国立卫生院神经功能缺损评分量表(NIHSS)评分相比,差异无统计学意义(P>0.05)。2组干预后的BI高于干预前,观察组高于对照组,2组干预后的NIHSS评分低于干预前,观察组低于对照组,差异有统计学意义(P<0.05)。观察组的高血压脑出血知识掌握度、康复锻炼方法掌握度和治疗方法认知度高于对照组,差异有统计学意义(P<0.05)。观察组手指、平衡、上肢、下肢的Fugl-Meyer评分高于对照组,差异有统计学意义(P<0.05)。观察组的治疗依从性为高于对照组,差异有统计学意义(P<0.05)。结论高血压脑出血患者采用整体干预措施,能有效缓解患者的负性情绪,且干预效果显著。

Objective To explore the effect of a holistic intervention on patients with hypertensive intracerebral hemorrhage and its influence on the negative emotion.Methods A total of 92 patients with hypertensive intracerebral hemorrhage treated in our hospital were taken as the research objects.They were randomly divided into the control group(routine intervention)and observation group(holistic intervention),with 46 cases in each group.The intervention effect was assessed using the Barthel index(BI),the National Institutes of Health Stroke Scale(NIHSS),the self-made questionnaire to evaluate the mastery of patient’s knowledge and rehabilitation exercise and awareness of treatment methods,and the Fugl-Meyer Assessment(FMA)scale.Negative emotion was assessed using the Self-Rating Anxiety Scale(SAS)and the Self-Rating Depression Scale(SDS).Results There were no significant differences in the SAS and SDS scores before intervention between groups(P>0.05).The SAS and SDS scores in both groups were significantly reduced after intervention,which were significantly lower in the observation group than those of control group(P<0.05).There were no significant differences in the BI and NIHSS score before intervention between groups(P<0.05).Significantly increased BI and decreased NIHSS score after intervention were detected in both groups,which were significantly pronounced in the observation group than those of control group(P<0.05).The mastery of patient’s knowledge about hypertensive intracerebral hemorrhage and rehabilitation exercise and awareness of treatment methods were significantly higher in the observation group than those of control group(P<0.05).The FMA scores of fingers,balance,uppeRand lower limbs in the observation group were significantly higher than those of the control group(P<0.05).The treatment compliance of the observation group was significantly higher than that of control group(P<0.05).Conclusion The holistic intervention in patients with hypertensive intracerebral hemorrhage can effectively alleviate the negative emotion with a significant intervention effect.