心理护理对脑卒中焦虑抑郁患者针对性干预的效果观察  

Observation of Targeted Interference with Psychological Nursing on Post-Stroke Anxiety and Depression Patients

作　　者：黄勤兰[1] 徐祝丽[1] 罗洁夏[1] 陈慈玉[1] 

机构地区：[1]广东药学院附属第一医院,神经,血液内科,广东广州510080

出　　处：《临床医学工程》2012年第10期1785-1786,共2页Clinical Medicine & Engineering

摘　　要：目的探讨心理护理针对性干预对脑卒中焦虑抑郁患者的影响。方法采用Zung焦虑自评量表(SAS)及抑郁自评量表(SDS)对100例脑卒中抑郁焦虑患者进行问卷。对照组50例患者行常规护理,干预组在常规护理的同时进行一对一的心理护理,3周后再进行复查。结果经过3周的干预,对照组SAS、SDS评分分别由(50.5±7.98)和(45±5.80)下降为(40.2±6.21)和(26.4±7.10),干预组SAS、SDS评分分别由(55.3±8.26)和(46.3±5.60)下降为(32.2±4.30)和(19.0±6.80),治疗后两组评分比较,差异有统计学意义(P<0.05)。结论对脑卒中焦虑抑郁患者开展心理护理针对性干预,可有效缓解抑郁焦虑程度和症状,可以帮助患者及家属正确面对疾病,提高生活质量,减轻中风后抑郁的不良情绪对其预后的影响,树立了患者的信心,促进患者康复。Objective To study the effect of targeted interference with psychological nursing on post-stroke anxiety and depression patients. Methods 100 patients with acute brain stroke were assessed by self-rating depression scale （SDS） and self-rating anxiety scale （SAS）. The patients with post-stroke depression and anxiety were divided into interventional group （n = 50） and control group （n = 50）. The control group was only treated with general nursing, based on this the interventional group was treated with one-on-one psychological nursing for a period of 3 weeks. Results After 3 weeks, the scores of SAS and SDS decreased form 50.5 ± 7.98 and 45 ± 5.80 to 40.2 ± 6.21 and 26.4 ± 7.10 respectively in the control group; Similarly, SAS and SDS scores decreased from 55.3 ± 8.26 and 46.3 ± 5.60 to 32.2 ± 4.30 and 19.0 ± 6.80 respectively in the interventional group; with significant difference in the scores between the interventional group and the control group after therapy （P 〈0.05）. Conclusions Targeted interference with psychological nursing on post-stroke patients can reduce depression and anxiety degree, and help patients and their families confront the disease correctly, improve their life quality, relieve the pessimistic emotion, enhance patients＇ confidence, and promote their recovery.

关 键 词：脑卒中 焦虑 抑郁 心理护理 针对性干预 

分 类 号：R471[医药卫生—护理学]