CAJ | 학술논문

目的：探讨中医情志护理路径干预对中风患者负性情绪的影响。方法：将符合纳入标准的120例中风患者随机分为干预组和对照组各60例，干预组采取中风患者情志护理路径进行护理干预；对照组给予中风患者常规心理护理。分别评价各组入院第1、7、14天Zung氏抑郁自评量表（ SDS）、Zung氏焦虑自评量表（ SAS）评分、神经功能缺损（ CSS）评分，比较两组护理疗效。结果：干预第7、14天，干预组在改善抑郁程度、焦虑程度及SAS评分、SDS评分明显优于对照组（ P<0.01）；干预第14天，干预组CSS评分明显优于对照组（ P<0.05）。结论：中医情志护理方案能有效改善中风后患者抑郁、焦虑为主的负性情绪，促进神经功能康复。
목적：탐토중의정지호리로경간예대중풍환자부성정서적영향。방법：장부합납입표준적120례중풍환자수궤분위간예조화대조조각60례，간예조채취중풍환자정지호리로경진행호리간예；대조조급여중풍환자상규심리호리。분별평개각조입원제1、7、14천Zung씨억욱자평량표（ SDS）、Zung씨초필자평량표（ SAS）평분、신경공능결손（ CSS）평분，비교량조호리료효。결과：간예제7、14천，간예조재개선억욱정도、초필정도급SAS평분、SDS평분명현우우대조조（ P<0.01）；간예제14천，간예조CSS평분명현우우대조조（ P<0.05）。결론：중의정지호리방안능유효개선중풍후환자억욱、초필위주적부성정서，촉진신경공능강복。
Objective:To explore the effect of emotion -thought nursing intervention of TCM on negative emotions of patients with stroke. Methods:120 stroke patients who met the inclusion criteria were randomly divided into the intervention group and the control group (60 cases in each group). The patients in the intervention group were given nursing intervention in the light of emotion-thought nursing path and the patients in the control group were given routine psychological care. SDS,SAS and CSS were used to evaluate the patients’ conditions respectively on the first,7th and 14th day after admission and the nursing effects were compared between the two groups. Re-sults:The alleviation of depression and anxiety and the scores of SAS and SDS were significantly superior in the intervention group to the control group on the 7th and 14th day of intervention(P<0. 01);the CSS score was significantly superior in the intervention group to the control group on the 14th day of intervention(P<0. 05). Conclusion:The emotion-thought nursing intervention of TCM can effectively relieve the negative emotions like depression and anxiety of patients with stroke and can promote the recovery of nerve function.