治疗性沟通系统在脑卒中患者中的应用  

Application of therapeutic communication in nursing of stroke patients

作　　者：刘慧[1] 谭志红[2] 姚建玲[1] 袁海珊[1] 高俊英[1] 万方[1] 

机构地区：[1]广州医科大学附属第二医院,广东广州510260 [2]广州医科大学荔湾医院,广东广州510170

出　　处：《现代临床护理》2015年第7期22-26,共5页Modern Clinical Nursing

基　　金：广东省科技计划项目;项目编号为20130319c

摘　　要：目的探讨治疗性沟通系统对脑卒中患者负性情绪及生活质量的影响。方法将120例脑卒中患者按住院先后时间段分为研究组和对照组,每组各60例,对照组给予常规护理,研究组在常规护理的基础上实施治疗性沟通干预。干预4周后,采用焦虑自评量表(self-rating anxiety scale,SAS),抑郁自评量表(self-rating depressive scale,SDS),特质应对方式问卷(trait coping style questionnaire,TCSQ),健康调查简表(the short form 36 health survey scale,SF-36)进行调查。结果干预后研究组患者焦虑、抑郁、消极应对得分明显低于对照组(均P<0.001);研究组患者积极应对及SF-36各维度得分明显高于对照组(均P<0.01)。结论治疗性沟通能有效改善脑卒中患者负性情绪及提高患者生命质量。Objective To evaluate the effect of therapeutic communication on negative emotion and quality of life of stoke patients.Methods A total of 120 stroke patients were divided into the control group and the observation group equally. The former received routine nursing and the latter routine nursing plus therapeutic communication. After 4 weeks, they were evaluated by self-rating anxiety scale（SAS）, self-rating depressive scale（SDS）, trait coping style questionnaire（TCSQ） and the short-form health survey-36（SF-36）.Results After the intervention, the scores on anxiety, depression and negative coping in the observation group were lower than those in the control group（P〈0. 01）, while the scores on positive coping and quality of life were higher in the observation group than those in control group（P〈0. 01）. Conclusion Therapeutic communication can effectively improve stroke patients′ negative emotion and quality of life.

关 键 词：治疗性沟通系统 脑卒中 焦虑 抑郁 应对方式 生命质量 

分 类 号：R473.74[医药卫生—护理学]