家庭康复护理+延续心理护理对脑卒中后遗症患者的影响  

Influence of family rehabilitation nursing + continuous psychological nursing on sequelae patients with stroke

作　　者：练晓静 张晓欢 王木花 LIAN Xiaojing;ZHANG Xiaohuan;WANG Muhua(Huidong Hospital Affiliated to Guangdong Medical University,Huizhou City,Guangdong Province,Huizhou 516300,China)

机构地区：[1]广东省惠州市广东医科大学附属惠东医院,广东惠州516300

出　　处：《心理月刊》2022年第14期138-140,164,共4页

摘　　要：目的分析家庭康复护理+延续心理护理在脑卒中后遗症患者护理中的影响。方法本次研究对象选自2018年8月~2021年8月本院收治的70例脑卒中后遗症患者,根据抽签法将其分为对照组、观察组,每组35例。对照组接受常规护理,观察组在对照组基础上接受家庭康复护理+延续心理护理,两组均在护理干预4周后进行效果评价。对比两组的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、治疗依从性、美国国立卫生研究院卒中量表(NIHSS)评分、Barthel指数、脑卒中专用生活质量量表(SS-QOL)评分。正态计量资料采用t检验,计数资料采用x^(2)检验。结果护理前,两组的SAS评分、SDS评分差异均不显著(P>0.05);护理后观察组评分均显著低于对照组(P<0.05)。观察组的治疗依从性(97.14%)显著高于对照组(71.43%)。观察组护理前的NIHSS评分与对照组对比,差异不显著(P>0.05),护理后NIHSS评分显著低于对照组(P<0.05)。护理前两组的Barthel指数无显著差异(P>0.05),护理后观察组的Barthel指数显著高于对照组(P<0.05)。护理前两组的SS-QOL各维度评分及总分均无显著差异(P>0.05),护理后观察组均显著高于对照组(P<0.05)。结论家庭康复护理+延续心理护理可有效减轻脑卒中后遗症患者抑郁、焦虑等不良情绪,促进受损神经功能恢复,提高治疗依从性、自理能力,改善生存质量,帮助患者早日回归工作、家庭,预后普遍较好。Objective To analyze the effect of home rehabilitation nursing+continuation psychological nursing in patients with stroke sequelae.Methods The subjects of this study were selected from 70 patients with stroke sequelae admitted to the hospital from August 2018 to August 2021,and they were divided into a control group and an observation group according to the lottery method,with 35 cases in each group.The control group received routine nursing,and the observation group received home rehabilitation nursing+continuous psychological nursing on the basis of the control group,and both groups evaluated the effect after 4 weeks of nursing intervention.Self-rating anxiety scale(SAS)scores,self-rating depression scale(SDS)scores,treatment adherence,National institutes of Health Stroke Scale(NIHSS)scores,Barthel index(BI),and stroke special quality of life scale(SS-QOL)scores were compared between the two groups.The normal metrology data is t-tested and the counting data is tested by x^(2).Results Before nursing treatment,the differences in SAS scores and SDS scores between the two groups were not significant(P>0.05),and the scores of the observation group after nursing care were significantly lower than those in the control group(P<0.05).Treatment adherence(97.14%)was significantly higher in the observation group than in the control group(71.43%).The NIHSS score before nursing care in the observation group was not significantly different from that of the control group(P>0.05),and the NIHSS score after nursing care was significantly lower than that of the control group(P<0.05).There was no significant difference in Barthel index between the first two groups(P>0.05),and the Barthel index in the post-nursing observation group was significantly higher than that in the control group(P<0.05).There were no significant differences in SS-QOL scores and total scores in each dimension(P>0.05)in the first two groups of nursing care,and the observation group after nursing care was significantly higher than that in the control group(P<0.

关 键 词：家庭康复护理 延续心理护理 脑卒中后遗症 应用效果 

分 类 号：R473.74[医药卫生—护理学]