阶段性干预结合心理护理对脑卒中患者康复的影响

Effects of Stage Intervention Combined with Psychological Nursing on Stroke Patients

目的:探讨阶段性干预结合心理护理对脑卒中患者康复的影响.方法:选取2020年1月至2023年6月本院收治的138例脑卒中患者为研究对象.依据护理模式,将其分为观察组(n=70,采用阶段性干预结合心理护理)和对照组(n=68,采用常规护理).比较两组患者心理状态、肢体功能、生活自理能力及预后情况.结果:护理后,观察组患者抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均低于对照组,差异均有统计学意义(P<0.05);观察组Fugl-Meyer运动功能量表(FMA)、日常生活活动能力表(BI)评分均高于对照组,差异均有统计学意义(P<0.05);观察组总预后良好率(95.71%,67/70)明显高于对照组(85.29%,58/68),差异有统计学意义(P<0.05).结论:对脑卒中患者应用阶段性干预结合心理护理,可改善患者负面情绪,提高患者肢体运动功能、生活自理能力及预后良好率.

Objective:To explore the effects of stage intervention combined with psychological nursing on stroke patients.Methods:A total of 138 stroke patients admitted to our hospital from January 2020 to June 2023 were selected as the study objects.And they were divided into observation group(n=70,received phased intervention combined with psychological nursing)and control group(n=68,received routine nursing)according to the nursing mode.The psychological status,limb function,self-care ability,quality of life,and prognosis were compared between two groups.Results:After the intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).The scores of Fugl-Meyer assessment scale(FMA)and Barthel index(BI)in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).The overall good prognosis rate of observation group(95.71%,67/70)was higher than that of control group(85.29%,58/68),and the difference was statistically significant(P<0.05).Conclusion:The application of stage intervention combined with psychological nursing in stroke patients can improve patients'negative emotions,improve patients'limb motor function,self-care ability,and good prognosis rate.