环球中医药
環毬中醫藥
배구중의약
GLOBAL TCM
2013年
z2期
203-204
,共2页
脑中风%心理干预%护理干预%疗效
腦中風%心理榦預%護理榦預%療效
뇌중풍%심리간예%호리간예%료효
Stroke%Psychological intervention%Nursing intervention%Effect
目的：观察心理护理干预在脑中风患者治疗中的临床疗效。方法我院神经内科接受治疗的脑中风患者共96例，知情同意基础上机分为观察组与对照组，对照组接受常规护理与治疗，观察组在对照组基础上辅以心理护理干预治疗，比较两组患者治疗前后焦虑自评量表评分、抑郁症发病率。结果观察组、对照组患者心理护理干预治疗前焦虑自评量表评分分别为（41.21±3.92）分、（40.13±4.15）分，干预治疗后分别为（42.52±4.87）分、（58.19±9.32）分。两组患者心理护理干预治疗前焦虑自评量表评分无显著性差异（P＞0.05），但治疗后存在显著性差异（P＜0.05）。在随访两年期间，未发生抑郁者为35例（72.92％），轻度抑郁者为10例（20.83％），中度抑郁者为2例（4.17％），重度抑郁者为1例（2.08％），抑郁症发病率为27.08％；对照组患者未发生抑郁者为22例（45.83％），轻度抑郁者为16例（33.33％），中度抑郁者为7例（14.59％），重度抑郁者为3例（6.25％），抑郁症发病率为54.17％。两组患者随访期间抑郁症发病率存在显著性差异（P＜0.05）。结论对于脑中风患者进行心理护理干预治疗，可显著降低患者抑郁症的发病率，改善患者预后及生活质量。
目的：觀察心理護理榦預在腦中風患者治療中的臨床療效。方法我院神經內科接受治療的腦中風患者共96例，知情同意基礎上機分為觀察組與對照組，對照組接受常規護理與治療，觀察組在對照組基礎上輔以心理護理榦預治療，比較兩組患者治療前後焦慮自評量錶評分、抑鬱癥髮病率。結果觀察組、對照組患者心理護理榦預治療前焦慮自評量錶評分分彆為（41.21±3.92）分、（40.13±4.15）分，榦預治療後分彆為（42.52±4.87）分、（58.19±9.32）分。兩組患者心理護理榦預治療前焦慮自評量錶評分無顯著性差異（P＞0.05），但治療後存在顯著性差異（P＜0.05）。在隨訪兩年期間，未髮生抑鬱者為35例（72.92％），輕度抑鬱者為10例（20.83％），中度抑鬱者為2例（4.17％），重度抑鬱者為1例（2.08％），抑鬱癥髮病率為27.08％；對照組患者未髮生抑鬱者為22例（45.83％），輕度抑鬱者為16例（33.33％），中度抑鬱者為7例（14.59％），重度抑鬱者為3例（6.25％），抑鬱癥髮病率為54.17％。兩組患者隨訪期間抑鬱癥髮病率存在顯著性差異（P＜0.05）。結論對于腦中風患者進行心理護理榦預治療，可顯著降低患者抑鬱癥的髮病率，改善患者預後及生活質量。
목적：관찰심리호리간예재뇌중풍환자치료중적림상료효。방법아원신경내과접수치료적뇌중풍환자공96례，지정동의기출상궤분위관찰조여대조조，대조조접수상규호리여치료，관찰조재대조조기출상보이심리호리간예치료，비교량조환자치료전후초필자평량표평분、억욱증발병솔。결과관찰조、대조조환자심리호리간예치료전초필자평량표평분분별위（41.21±3.92）분、（40.13±4.15）분，간예치료후분별위（42.52±4.87）분、（58.19±9.32）분。량조환자심리호리간예치료전초필자평량표평분무현저성차이（P＞0.05），단치료후존재현저성차이（P＜0.05）。재수방량년기간，미발생억욱자위35례（72.92％），경도억욱자위10례（20.83％），중도억욱자위2례（4.17％），중도억욱자위1례（2.08％），억욱증발병솔위27.08％；대조조환자미발생억욱자위22례（45.83％），경도억욱자위16례（33.33％），중도억욱자위7례（14.59％），중도억욱자위3례（6.25％），억욱증발병솔위54.17％。량조환자수방기간억욱증발병솔존재현저성차이（P＜0.05）。결론대우뇌중풍환자진행심리호리간예치료，가현저강저환자억욱증적발병솔，개선환자예후급생활질량。
Objective To observe the clinical effect of psychological nursing intervention in the treatment of stroke patients .Methods Our Hospital Department of internal medicine treatment of stroke patients with a total of 96 cases ,informed consent based on the divided into observation group and control group ,the control group received routine nursing care and treatment ,the observation group in the control group based on the psychological nursing interven-tion ,two groups were compared before and after treatment of self-rating anxiety scale ,depression incidence .Results The observation group ,the control group patients psychological nursing intervention in the treatment of Self-rating Anxiety Scale scores were (41.21 ± 3.92)% ,(40.13 ± 4.15) ,after treat-ment were (42.52 ± 4.87)% ,(58.19 ± 9.32) points .Two groups of patients with psychological nursing intervention in the treatment of Self-rating Anxi-ety Scale scores showed no significant difference (P > 0.05) ,but after treatment ,significant difference (P < 0.05) .During the follow-up period of two years ,without the occurrence of depression was 35 cases (72.92% ) ,mild depression was 10 cases (20.83% ) ,moderate depression was 2 cases (4.17% ) , severe depression was 1 cases (2.08% ) ,the incidence of depression was 27.08% ;the control group of patients without depression was 22 cases (45.83% ) , mild depression was 16 cases (33.33% ) ,moderate depression was 7 cases (14.59% ) ,severe depression was 3 cases (6.25% ) ,the incidence of depression was 54.17% .There was a significant difference between the two groups during the follow-up period of incidence of depression (P < 0.05) .Conclusion Treatment for stroke patients psychological nursing intervention ,can significantly reduce the incidence rate of depression patients ,improve the prognosis and quality of life in patients with .
