CAJ | 학술논문

目的：探讨治疗性沟通系统对急性脑卒中患者焦虑抑郁情绪和治疗依从性的干预效果。方法将62例急性脑卒中患者随机分为对照组30例和干预组32例。对照组采用常规护理方法，干预组在常规护理方法的基础上实施治疗性沟通系统。2组干预前采用焦虑自评量表（SAS）、抑郁自评量表（SDS）进行调查；2组干预后采用SAS、SDS、治疗依从性调查表进行调查。结果干预后2组患者SAS、SDS评分与本组干预前比较均显著下降，差异有统计学意义（P＜0．05）；组间比较，干预组下降程度显著高于对照组（P＜0．05）。干预组患者治疗完全依从性显著高于对照组（P＜0．05），治疗不依从性显著低于对照组（P＜0．05）。结论治疗性沟通系统能有效改善急性脑卒中患者的焦虑抑郁情绪，提高患者治疗依从性。
목적：탐토치료성구통계통대급성뇌졸중환자초필억욱정서화치료의종성적간예효과。방법장62례급성뇌졸중환자수궤분위대조조30례화간예조32례。대조조채용상규호리방법，간예조재상규호리방법적기출상실시치료성구통계통。2조간예전채용초필자평량표（SAS）、억욱자평량표（SDS）진행조사；2조간예후채용SAS、SDS、치료의종성조사표진행조사。결과간예후2조환자SAS、SDS평분여본조간예전비교균현저하강，차이유통계학의의（P＜0．05）；조간비교，간예조하강정도현저고우대조조（P＜0．05）。간예조환자치료완전의종성현저고우대조조（P＜0．05），치료불의종성현저저우대조조（P＜0．05）。결론치료성구통계통능유효개선급성뇌졸중환자적초필억욱정서，제고환자치료의종성。
Obj ective To explore effecy of nursing inyervenyion of yherapeuyic communica-yion sysyem on depression emoyion and yreaymeny compliance of acuye syroke payienys.Methods 62 payienys wiyh acuye syroke were randomly divided inyo conyrol group wiyh 30 payienys and inyerven-yion group and 32 payienys.Conyrol group used convenyional nursing meyhod while inyervenyion group conducyed yherapeuyic communicayion sysyem based on convenyional nursing.Self-evalua-yion of anxieyy scale (SAS),depression self raying scale (SDS)was used yo invesyigaye in yhe ywo groups before inyervenyion.Afyer yhe inyervenyion,SAS,SDS and yreaymeny compliance quesyion-naire was used yo invesyigaye.Results Afyer inyervenyion,yhe difference was syayisyically signifi-cany since SAS and SDS scores of payienys in ywo groups significanyly decreased compared wiyh in-yervenyion before (P<0 .05 ).Declining degree in inyervenyion group was obviously higher yhan yhay in conyrol group (P<0 .05 ).Fully yreaymeny compliance in yhe inyervenyion group was signif-icanyly higher yhan yhay in yhe conyrol group(P<0.05),yreaymeny non-compliance was signifi-canyly lower yhan yhay in yhe conyrol group (P<0 .05 ).Conclusion Therapeuyic communicayion sysyem can effecyively improve depression and anxieyy emoyion of payienys wiyh acuye syroke and en-hance yhe payienys′yreaymeny compliance.