早期心理和情感障碍的护理干预对脑卒中患者康复的影响  

Effect of early psychological and emotional nursing intervention on the rehabilitation of patients with stroke

作　　者：舒春华[1] 王德强[1] 马念[1] 赵萃[1] 

机构地区：[1]滨州医学院附属医院,山东滨州256603

出　　处：《齐鲁护理杂志》2009年第10期15-16,共2页Journal of Qilu Nursing

摘　　要：目的:探讨早期心理和情感障碍的护理干预对脑卒中康复的影响。方法:将68例脑卒中后心理和情感障碍的患者随机分为观察组和对照组各34例,每天均常规给予神经内科和康复治疗,观察组同时给予心理和情感障碍的护理干预6周。评定治疗前后患者的运动功能(MAS)和日常生活活动能力(ADL)以及治疗前后2、4、6、12周HAMD的评分,两组分别进行治疗前后和组间比较。结果:两组患者治疗后3个月MAS及ADL能力评分比治疗前均明显提高(P<0.01),两组间比较差异有统计学意义(P<0.05)。观察组护理干预2周后HAMD评分明显下降,至第6周时HAMD评分完全恢复正常,与治疗前及对照组比较差异有显著性(P<0.05)。结论:早期心理和情感障碍的护理干预可明显地促进和提高脑卒中患者功能障碍的恢复。Objective：To explore the early psychological and emotional nursing intervention on the rehabilitation of patients with stroke. Methods：68 patients with mental and emotional barriers because of suffering from stroke were randomly divided into observation group and control group （34 cases for each group）. Routine neurological therapy and rehabilitation were given to the patients in both groups; in addition psychological and emotional nursing intervention was given to the patients for 6 weeks. The motor function and the activities of daily living of the patients were assessed before and after treatment as well as HAMD scores respectively in the 2nd, 4th, 6th and 12th week before and after treatment, and the comparison was made between the two groups. Results ： The MAS and the ADL scores were significantly increased after treatment for 3 months { P 〈 0.01 }, the differ- ence between the two groups was statistically significant （ P 〈 0.05 ）. The HAMD score was significantly decreased after nursing intervention for 2 weeks in observation group; HAMD scores fully returned to normal level in the 6th week after nursing intervention and there was significant difference between the 2 groups （P 〈 0.05）. Conclusion ： Early psychological and emotional nursing intervention can markedly promote and enhance the recovery of function of patients with stroke.

关 键 词：脑卒中 心理和情感障碍 护理干预 康复 

分 类 号：R473.5[医药卫生—护理学]