心理护理对脑卒中后遗症患者负性情绪的影响研究  

Effect of psychological nursing on negative emotion in patients with stroke sequelae

作　　者：张岩[1] 王冬梅 贝泰莉 展妍 周平 刘文娟 肖韩艳[1] 陈翠[7] ZHANG Yan;WANG Dongmei;BEI Taili;ZHAN Yan;ZHOU Ping;LIU Wenjuan;XIAO Hanyan;CHEN Cui(Second Department of Neurology,Second Affiliated Hospital of Mudanjiang Medical College,Mudanjiang 157000,China;Department of Nursing,Mudanjiang Second People's Hospital inHeilongjiang Province,Mudanjiang 157000,China;Department of Orthopaedics,Mudanjiang SecondPeople's Hospital in Heilongjiang Province,Mudanjiang 157000,China;Second Department ofNeurology,Mudanjiang Second People's Hospital in Heilongjiang Province,Mudanjiang 157000,China;Second Department of General Surgery,Mudanjiang Second People's Hospital in HeilongjiangProvince,Mudanjiang 157000,China;Third Department of Neurology,Mudanjiang Second People'sHospital in Heilongjiang Province,Mudanjiang 157000,China;Endoscopy Center,Second AffiliatedHospital of Mudanjiang Medical College,Mudanjiang 157000,China)

机构地区：[1]牡丹江医学院第二附属医院神经内二科,黑龙江牡丹江157000 [2]黑龙江省牡丹江市第二人民医院护理部,黑龙江牡丹江157000 [3]黑龙江省牡丹江市第二人民医院骨外科,黑龙江牡丹江157000 [4]黑龙江省牡丹江市第二人民医院神经内二科,黑龙江牡丹江157000 [5]黑龙江省牡丹江市第二人民医院普外二科,黑龙江牡丹江157000 [6]黑龙江省牡丹江市第二人民医院神经内三科,黑龙江牡丹江157000 [7]牡丹江医学院第二附属医院内镜中心,黑龙江牡丹江157000

出　　处：《中国现代医生》2019年第9期146-149,共4页China Modern Doctor

基　　金：黑龙江省牡丹江市科学技术计划项目(Z2017s0006)

摘　　要：目的探讨脑卒中后遗症患者采取心理护理干预对负面情绪的影响。方法抽取我院2016年1月～2017年12月期间收入脑卒中后遗症患者80例,按照护理模式不同分为两组,对照组40例予以常规护理,观察组40例在对照组基础上联合心理护理,并对两组干预前后焦虑、抑郁情绪、依从性、护理满意度进行比较。结果两组护理前SAS、SDS评分差异无意义(P>0.05),护理后观察组SAS、SDS评分低于对照组,两组差异有统计学意义(P<0.05),两组护理前后SAS、SDS评分差异有统计学意义(P<0.05),观察组护理后服药依从性、康复锻炼依从性、定期复诊依从性评分高于对照组,两组差异有统计学意义(P<0.05),观察组护理总满意度97.5%,高于对照组85.0%,两组差异有统计学意义(P<0.05)。结论脑卒中后遗症患者予以心理护理措施干预,能改善患者负面情绪,提高治疗依从性及其护理满意度,值得临床推广应用。Objective To explore the impact of psychological nursing intervention on negative emotions in patients with stroke sequelae.Methods Eighty patients with stroke sequelae treated in our hospital from January 2016 to December 2017 were selected and divided into two groups according to different nursing modes.40 patients in the control group were given routine nursing care,and 40 patients in the observation group were additionally given psychological care.The anxiety,depression,compliance,and nursing satisfaction of the two groups before and after intervention were compared.Results There was no significant difference in SAS and SDS scores between the two groups before intervention(P>0.05).After intervention,the SAS and SDS scores of the observation group were lower than those of the control group.The difference between the two groups was statistically significant(P<0.05).There were significant differences in SAS and SDS scores between the two groups before and after nursing(P<0.05).The medication compliance,rehabilitation exercise compliance,and regular follow-up compliance scores in the observation group were higher than those in the control group.The differences between the two groups were statistically significant(P<0.05).The total satisfaction of the observation group was 97.5%,which was higher than the control group(85.0%).The difference between the two groups was statistically significant(P<0.05).Conclusion Psychological nursing intervention for patients with stroke sequelae can relieve patients'negative emotions and improve treatment compliance and nursing satisfaction,and it is worthy of clinical application.

关 键 词：心理护理 脑卒中 后遗症 负面情绪 

分 类 号：R473[医药卫生—护理学]