急性脑梗死患者情感障碍的护理

Nursing of emotional disturbance in patients suffering from acute cerebral infarction

目的探讨急性脑梗死患者情感障碍的发生率、特点及护理体会。方法采用焦虑、抑郁自评量表和神经功能缺损评分表对284例急性脑梗死患者入院时及病程的第3～4周进行评分。结果284例急性患者中有情感障碍者190例,发生率为66.9%,其中抑郁、焦虑发生率较高,分别为26.1%、20.4%。有情感障碍与无情感障碍患者入院时的神经功能缺损分值比较,经t检验,无显著性差异,P>0.05,但病程的第3～4周,有情感障碍者的得分较无情感障碍者低,经t检验,P<0.01。结论急性脑梗死患者情感障碍发生率较高,有情感障碍的患者较无障碍的近期预后差。应针对不同情感障碍采取相应的护理措施。

Objective To ex p lore the occurrence rate,characteristics and nursing experience of emotional dis turbance in patients with acute cerebral infarction.Methods SCL-90and Scale for Nerve Function Defect were used to evaluate284patients from a-cute cerebral inf arction at hospitalization as well as during the course from week3to4.Res ults19 0of the patients(66.9%)were evaluated to have emotional disturbance,among whom t he occurrence rates of depression and anxiety were higher,taking up26.1%and20.4% respectively.The comparison of nerve function defects between the patients with and without emotional disturbance at hos-pitalization showed no significant dif ference by t-test(P>0.05),but during the course from week3to week4,the scores in the for-mer were significantly higher than those in the latter by t-test(P<0.0 1).Conclus ion Emotional disturbance occurs among the pa-tients with acute cere bral infarction at a higher rate and the patients with emotional disturbance go with poor prognosis than those without disturbance in the near future.The differ ent nursing measures should be based on varying emotional disturbance.