阶段性心理干预对脑血管堵塞开通后血压控制的影响  

Effect of periodic psychological intervention on blood pressure control after cerebral vascular occlusion

作　　者：陈爱民[1] 吴春燕[1] 唐萍[2] 褚红梅 Chen Aimin;Wu Chunyan;Tang Ping;Chu Hongmei(Neurology Department,the People＇s Hospital of Jingjiang City in Jiangsu Province,Jingjiang 214500,China)

机构地区：[1]江苏省靖江市人民医院神经内科,214500 [2]江苏省靖江市人民医院脑科中心二,214500 [3]江苏省靖江市人民医院脑科中心一,214500

出　　处：《国际护理学杂志》2018年第17期2412-2415,共4页international journal of nursing

基　　金：靖江市社会科技发展计划项目（SSF20160185）

摘　　要：目的探讨阶段性心理干预对脑血管堵塞开通后患者应激反应及血压控制的影响。方法选取该院行脑血管堵塞开通术的患者72例，根据随机数字表法分为观察组和对照组各36例。对照组围手术期间给予脑血管内科常规护理，观察组在对照组基础上行阶段性心理干预，比较两组患者干预前后应激反应、负性情绪、血压控制效果及预后睛况。结果观察组患者干预后心率、收缩压（SBP）、舒张压（DBP）水平，以及焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分均低于对照组（均P〈0．05）。观察组患者血管堵塞成功开通率高于对照组，而高血压发生率低于对照组（均P〈0．05）。结论阶段性心理干预能有效减轻脑血管堵塞患者开通手术期间应激反应及负性情绪，提高患者手术成功率，同时能有效控制术后血压，有利于患者预后。Objective To expolre the effect of phased psychological intervention on stress response and blood pressure control in patients with cerebral vascular occlusion and opening. Methods A total of 72 cases of patients with underwent cerebral vascular occlusion in this hospital were randomly divided into observation group and control group ac cording to the random number table method, 36 cases of each group. The control group was given with routine nursing in the department of cerebrovascular medicine during the perioperative period. The observation group was treated with phased psychological intervention on the basis of the control group. The effects of stress response, negative emotions and blood pressure control and prognosis before and after intervention were compared between the two groups. Results The heart rate, systolic blood pressure （SBP） and diastolic blood pressure （DBP） levels of the patients in the obser- vation group after intervention, as well as the self-rating anxiety scale （SAS） and the self-rating depression scale （SDS） were all lower than those of the control group （P〈0. 05）. The success rate of successful opening of vascular blockage in the observation group was higher than that of the control group, while the incidence of hypertension was lower than that of the control group （ P〈0.05 ）. Conclusions The phased psychological intervention can effectively reduce the stress response and negative emotion during the operation of patients with cerebrovascular occlusion. It can improve the success rate of operation. At the same time, it can effectively control postoperative blood pressure, which is beneficial to the prognosis of patients.

关 键 词：阶段性心理干预 脑血管堵塞 应激反应 血压控制 

分 类 号：R473.74[医药卫生—护理学]