中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
7期
784-786
,共3页
脑梗死%焦虑%抑郁%心理护理%认知功能
腦梗死%焦慮%抑鬱%心理護理%認知功能
뇌경사%초필%억욱%심리호리%인지공능
Cerebral infarction%Anxiety%Depression%Psychological nursing%Cognitive function
目的 探讨心理护理干预对脑梗死患者负性情绪及认知功能的影响.方法 对82例脑梗死患者按随机数字表法随机分为对照组和观察组各41例,对照组给予常规治疗和护理,观察组在此基础上给予心理护理干预.于入组时及心理护理干预4周末,采用抑郁自评量表(SDS)及焦虑自评量表(SAS)评定患者的抑郁、焦虑负性情绪；简易智能量表(MMSE)评定认知功能,并对结果进行对比分析.结果 观察组心理护理干预后SDS、SAS评分较干预前下降[分别为(34.45±5.12)分比(47.34±6.56)分,(33.52±4.87)分比(42.97±5.69)分],MMSE评分较干预前升高[(25.71±3.76)分比(19.25±2.24)分],差异均有统计学意义(t分别为13.26,12.41,-11.87；P＜0.05).干预后,观察组SDS及SAS评分均低于同期对照组[(40.22±5.73),(38.22±5.04)分],MMSE评分高于同期对照组[(21.03±3.37)分],差异均有统计学意义(t分别为4.81,4.29,-5.94；P＜0.05).结论 心理护理干预能减轻脑梗死患者的负性情绪,改善认知功能,促进患者的全面康复.
目的 探討心理護理榦預對腦梗死患者負性情緒及認知功能的影響.方法 對82例腦梗死患者按隨機數字錶法隨機分為對照組和觀察組各41例,對照組給予常規治療和護理,觀察組在此基礎上給予心理護理榦預.于入組時及心理護理榦預4週末,採用抑鬱自評量錶(SDS)及焦慮自評量錶(SAS)評定患者的抑鬱、焦慮負性情緒；簡易智能量錶(MMSE)評定認知功能,併對結果進行對比分析.結果 觀察組心理護理榦預後SDS、SAS評分較榦預前下降[分彆為(34.45±5.12)分比(47.34±6.56)分,(33.52±4.87)分比(42.97±5.69)分],MMSE評分較榦預前升高[(25.71±3.76)分比(19.25±2.24)分],差異均有統計學意義(t分彆為13.26,12.41,-11.87；P＜0.05).榦預後,觀察組SDS及SAS評分均低于同期對照組[(40.22±5.73),(38.22±5.04)分],MMSE評分高于同期對照組[(21.03±3.37)分],差異均有統計學意義(t分彆為4.81,4.29,-5.94；P＜0.05).結論 心理護理榦預能減輕腦梗死患者的負性情緒,改善認知功能,促進患者的全麵康複.
목적 탐토심리호리간예대뇌경사환자부성정서급인지공능적영향.방법 대82례뇌경사환자안수궤수자표법수궤분위대조조화관찰조각41례,대조조급여상규치료화호리,관찰조재차기출상급여심리호리간예.우입조시급심리호리간예4주말,채용억욱자평량표(SDS)급초필자평량표(SAS)평정환자적억욱、초필부성정서；간역지능량표(MMSE)평정인지공능,병대결과진행대비분석.결과 관찰조심리호리간예후SDS、SAS평분교간예전하강[분별위(34.45±5.12)분비(47.34±6.56)분,(33.52±4.87)분비(42.97±5.69)분],MMSE평분교간예전승고[(25.71±3.76)분비(19.25±2.24)분],차이균유통계학의의(t분별위13.26,12.41,-11.87；P＜0.05).간예후,관찰조SDS급SAS평분균저우동기대조조[(40.22±5.73),(38.22±5.04)분],MMSE평분고우동기대조조[(21.03±3.37)분],차이균유통계학의의(t분별위4.81,4.29,-5.94；P＜0.05).결론 심리호리간예능감경뇌경사환자적부성정서,개선인지공능,촉진환자적전면강복.
Objective To explore the effect of psychological nursing intervention on the negative emotions and cognitive functions of patients with cerebral infarction.Methods Totals of 82 patients with cerebral infarction were randomly divided into the control group and the observation group,each with 41 cases.The control group received routine treatment and nursing,while the observation group was given psychological nursing intervention in addition.Before and 4 weeks after intervention,SDS and SAS scales were used to assess patients' negative emotions including depression and anxiety,etc.,WMS scales were used to evaluate their cognitive functions,and results were analyzed and compared.Results In the observation group,scores of SDS,SAS and MMSE scales were (47.34 ±6.56),(42.97 ±5.69) and (19.25 ±2.24) before psychological nursing intervention,(34.45 5.12),(33.52 ±4.87) and (25.71 ± 3.76) after intervention,and the differences were statistically significant (t =13.26,12.41,-11.87,respectively; P ＜ 0.05).After intervention,scores of SDS and SAS were lower in the observation group than in the control group [(34.45 ± 5.12) vs (40.22 ± 5.73) and (33.52 ± 4.87) vs (38.22 ± 5.04)],while scores of MMSE were higher in the observation group than in the control group [(25.71 ± 3.76) vs (21.03 ± 3.37)],and the differences were statistically significant (t =4.81,4.29,-5.94,respectively ; P ＜ 0.05).Conclusions Psychological nursing intervention can relieve negative emotions,improve cognitive functions and promote general rehabilitation of patients with cerebral infarction.
