中医情志护理干预联合常规心理护理对脑出血患者生存质量及心理健康的影响

Chinese Medicine Emotional Nursing Intervention Combined with Psychological Nursing Has Effect on Quality of Life and Mental Health of Patients with Cerebral Hemorrhage

目的:探讨中医情志护理干预联合常规心理护理对脑出血患者的生存质量及心理健康的影响。方法:将脑出血康复治疗患者78例随机分为2组各39例,试验组均给予情志陶冶、情志相胜、移情易性等中医情志护理干预;而对照组患者则采取语言激励等增强患者克服疾病信心的常规心理护理干预,对比分析2组患者在干预前后的生存质量和抑郁自评量表评分、焦虑自评量表评分等情况。结果:干预后,2组焦虑与抑郁自评量表评分较前降低(P <0.05),试验组干预后的焦虑与抑郁自评量表评分低于对照组,2组比较,差异有统计学意义(P <0.05)。干预前,2组生存质量评分比较,差异无统计学意义(P> 0.05)。2组间干预后各项生存质量评分比较,差异有统计学意义(P <0.05)。结论:对脑出血患者联合采取中医情志护理干预和常规心理护理能够有效减轻患者的焦虑和紧张心理,提高患者的生存质量。

Objective:To discuss the effect of Chinese medicine emotional nursing intervention combined with psychological nursing on quality of life and mental health of patients with cerebral hemorrhage.Methods:78 cases of patients undergoing rehabilitation for cerebral hemorrhage were divided into two groups randomly,39 cases in each group.Patients in the experiment group received such Chinese medicine emotional nursing interventions as emotional edification,emotional mutual restriction and emotional transformation,while patients in the control group received the routine psychological nursing interventions including verbal encouragement for strengthening their confidence of overcoming disease.Compared and analyzed scores of quality of life,self-rating depression scale(SDS)and self-rating anxiety scale(SAS)of patients in both groups before and after intervention.Results:After intervention,the scores of SDS and SAS in both groups were lower than those before intervention(P<0.05);the scores of SDS and SAS in the experiment group were lower than those in the control group,there was significant difference being found(P<0.05).Before intervention,comparing the quality of life scores in both groups,there was no significant difference being found(P>0.05).After intervention,comparing each quality of life score in-between the two groups,there was significant difference being found(P<0.05).Conclusion:The application of Chinese medicine emotional nursing intervention combined with psychological nursing for patients with cerebral hemorrhage can effectively alleviate their anxiety and stress and promote the quality of life.