老年高血压脑卒中恢复期伴焦虑患者的心理护理  

Psychological Nursing in Senile Hypertensive Stroke Patients with Anxious Emotion in Recovery Period

作　　者：何莉[1] 田锦屏[1] 王梅[1] 

机构地区：[1]黑龙江省牡丹江医学院附属二院神经内科,157000

出　　处：《中华全科医学》2008年第7期711-712,共2页Chinese Journal of General Practice

摘　　要：目的探讨老年高血压脑卒中恢复期伴有焦虑情绪的较佳护理方法。方法将98例老年高血压脑卒中恢复期伴焦虑情绪患者随机分为A、B两组,各组49例。A组应用非洛地平口服、舒血宁静点,B组在A组治疗基础上注重心理护理,疗程均为12周,治疗前后分别采用焦虑自评量表评定2组焦虑状况,采用神经功能残损量表评定脑卒中功能障碍恢复情况,并比较血压、心率的变化情况。结果治疗12周末,B组收缩压、舒张压较A组差异有统计学意义,焦虑状况有显著改善;神经功能残损评定(SIAS)B组神经功能障碍恢复显著。结论注重心理护理是治疗老年高血压脑卒中恢复期的较佳护理方法。Objective To explore effect of psychological nursing in senile hypertensive stroke patients with anxious emotion in recovery period. Methods 98 senile hypertentive patients with anxious emotion were randomly divided into 2 groups （ each n = 49 ）. A group received combination of Felodipine and Ginkgo, B group did combination of Felodipine and Ginkqo, and psychological nursing performed for 12 weeks. Before and after treatment, anxious states were assessed with Self-rating Anxious Scale （SAS） ;Nervous function recovery states were assessed with SIAS and BP,heart rate measured and compared. Results After 12 weeks treatment,SBP and DBP of B group most significantly different from those of A group （ P 〈 0.01 ）. According to the SAS, anxious and recovery states of the 2 groups both significantly improved after treatment. Conclusions Psychological nursing has significant effectiveness in senile hypertensive stroke patients with anxious emotion in recovery period.

关 键 词：脑卒中 老年高血压 焦虑情绪 心理护理 

分 类 号：R743.3[医药卫生—神经病学与精神病学]