早期心理辅导对脑梗死患者的影响研究  

Study on the effect of early psychological counseling on patients with cerebral infarction

作　　者：陈晓盟 史宜达 李瑾[1] 张洁[1] CHEN Xiao-meng;SHI Yi-da;LI Jin;ZHANG Jie(Department of Neurology,Chu Hsien-I Memorial Hospital of Tianjin Medical University,Tianjin Institute of Endocrinology,Key Laboratory of Hormone and Development of National Health Commission,Tianjin Key Laboratory of Metabolic Diseases,Tianjin 300134,China)

机构地区：[1]天津医科大学朱宪彝纪念医院神经内科,天津市内分泌研究所,国家卫健委激素与发育重点实验室,天津市代谢性疾病重点实验室,天津300134

出　　处：《中国城乡企业卫生》2023年第5期7-9,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的观察早期心理辅导对脑梗死患者的影响,为制订有效的心理干预方法提供参考。方法选取天津医科大学朱宪彝纪念医院2022年2—10月收治的脑梗死患者84例为研究对象,随机分为早期心理辅导组和对照组各42例。对照组患者开展常规护理,早期心理辅导组患者在对照组的基础上开展早期心理辅导。比较两组患者护理前后生活质量评分(QOL)、护理依从性评分及护理满意率。结果护理后,早期心理辅导组社会活动、日常生活能力、抑郁心理、焦虑心理各项评分及总分均高于对照组,差异均有统计学意义(P<0.05)。早期心理辅导组患者饮食、锻炼、用药各项护理依从性评分均高于对照组,差异均有统计学意义(P<0.05)。早期心理辅导组患者护理满意率为95.24%,高于对照组的78.57%,差异有统计学意义(χ^(2)=5.1258,P<0.05)。结论给予脑梗死患者早期心理辅导有助于改善患者的心理与生活质量,提升患者护理依从性及护理满意率,值得临床推广应用。Objective To observe the effect of early psychological counseling on patients with cerebral infarction and provide reference for formulating effective psychological intervention methods.Methods A total of 84 patients with cerebral infarction admitted to Chu Hsien-I Memorial Hospital of Tianjin Medical University from February to October 2022 were selected as the study subjects and randomly divided into early psychological counseling group and control group with 42 cases in each group.The patients in the control group were given routine nursing,and the patients in the early psychological counseling group were given early psychological counseling on the basis of the control group.The quality of life score(QOL)before and after nursing,nursing compliance score and nursing satisfaction rate of patients in the two groups were compared.Results After nursing,the scores of social activities,daily living ability,depression and anxiety psychology and the total score in the early psychological counseling group were higher than those in the control group,and the differences were statically significants(P<0.05).The scores of nursing compliance in diet,exercise and medication in the early psychological counseling group were higher than those in the control group,and the differences were statically significants(P>0.05).The nursing satisfaction rate of patients in the early psychological counseling group was 95.24%,which was higher than 78.57%in the control group,and the difference was statistically significant(χ^(2)=5.1258,P<0.05).Conclusion Early psychological counseling for patients with cerebral infarction was helpful to improve the psychological and life quality of patients,improve their nursing compliance and the nursing satisfaction rate,which was worthy of clinical promotion and application.

关 键 词：脑梗死 早期心理辅导 生活质量 护理依从性 护理满意率 

分 类 号：R4[医药卫生—临床医学]