互联网多模式指导下三合一心理护理对缺血性脑卒中患者自我感受负担的影响  

Effects of Three-in-one Psychological Nursing under Internet Multi-mode Guidance on Self-perceived Burden in Patients with Ischemic Stroke

作　　者：王雪[1] 孙婧[1] 王春阳[1] Wang Xue;Sun Jing;Wang Chun-yang(Third Department of Neurology,Second People's Hospital,Nanyang 473000,Henan Province,China)

机构地区：[1]南阳市第二人民医院神经内科三病区,河南南阳473000

出　　处：《罕少疾病杂志》2023年第9期104-105,112,共3页Journal of Rare and Uncommon Diseases

基　　金：河南省科技计划项目(192102320349)。

摘　　要：目的 探讨互联网多模式指导下三合一心理护理对缺血性脑卒中(CI)患者自我感受负担的影响。方法 选取2019年1月至2021年1月收治的CI患者120例,采取随机数字表法分组,分为对照组(60例)和观察组(60例)。对照组采用常规护理干预;观察组在对照组的基础上采用互联网多模式指导下三合一心理护理干预。比较干预前、后两组患者自我感受负担量表(SPBS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分;干预前、后采用生活质量表(SF-36)评分及干预1个月、2个月后日常生活活动量表(BI)评分比较。结果 干预后,SPBS评分总分和SAS、SDS评分均有降低,且观察组低于对照组(P<0.05);精神健康、生理职能、情感职能、社会健康评分均有升高,且观察组高于对照组(P<0.05);观察组干预1个月、2个月后BI评分均高于对照组(P<0.05)。结论互联网多模式指导下三合一心理护理用于CI患者能减轻自我感受负担,改善心理状态,改善神经障碍,提高生活能力。Objective To explore the effects of three-in-one psychological nursing under Internet multi-mode guidance on self-perceived burden in patients with ischemic stroke(CI).Methods A total of 120 patients with CI were enrolled between January 2019 and January 2021,and they were divided into control group(60 cases)and observation group(60 cases)by random number table method.The control group was given routine nursing,while observation group was additionally given three-in-one psychological nursing under Internet multi-mode guidance.The scores of selfperceived burden scale(SPBS),self-rating anxiety scale(SAS),self-rating depression scale(SDS)and the 36-item shot-form health status survey(SF-36)before and after intervention,and scores of Barthel index(BI)after 1 month and 2 months of intervention were compared between the two groups.Results After intervention,total score of SPBS,and scores of SAS and SDS were decreased in both groups,which were lower in observation group than control group(P<0.05),and scores of mental health,physiological role,emotional role and social health were increased,which were higher in observation group than control group(P<0.05).After 1 month and 2 months of intervention,BI scores in observation group were higher than those in control group(P<0.05).Conclusion Three-in-one psychological nursing under Internet multi-mode guidance can relieve self-perceived burden,improve psychological state,neurological disorders and activities of daily living in patients with CI.

关 键 词：互联网多模式指导 三合一心理护理 缺血性脑卒中 自我感受负担 

分 类 号：R[医药卫生]