基于归因理论的双心护理对卒中后抑郁患者的心理状态及生活质量的影响  

Influence of Attribution-Based Two-Heart Nursing on Mental State and Quality of Life of Stroke Depression Patients

作　　者：张胜男 张翠萍 ZHANG Shengnan;ZHANG Cuiping(Department of Neurology,Zhongshan Hospital Affiliated to Xiamen University,Xiamen,Fujian 361000,China;Department of Anesthesia and Surgery,The First Affiliated Hospital of Xiamen University,Xiamen,Fujian 361000,China)

机构地区：[1]厦门大学附属中山医院神经内科,福建厦门361000 [2]厦门大学附属第一医院麻醉手术科,福建厦门361000

出　　处：《中国医药指南》2025年第2期65-67,共3页Guide of China Medicine

摘　　要：目的分析基于归因理论的双心护理对卒中后抑郁患者的心理状态及生活质量的影响。方法选取2021年2月至2022年9月厦门大学附属中山医院收治的100例卒中后抑郁患者,随机数字表法分入观察组和对照组,各50例,对照组卒中后抑郁患者采用常规护理,观察组卒中后抑郁患者实施基于归因理论的双心护理。比较两组卒中后抑郁症患者护理前后睡眠质量、不良心理评分、生活质量改善情况。结果两组护理前睡眠质量水平等相比,差异无统计学意义(P>0.05)。护理后两组卒中后抑郁症患者以上评分均改善(P<0.05)。观察组卒中后抑郁症患者睡眠时间长于对照组,睡眠潜伏期、不良心理评分均低于对照组,睡眠效率、生活质量评分高于对照组(P<0.05)。结论基于归因理论的双心护理能有效改善卒中后抑郁患者的心理状态及生活质量影响,提升患者的睡眠质量。Objective To analyze the effect of attribution-based two-heart nursing on the mental state and quality of life of patients with post-stroke depression.Methods A total of 100 patients with poststroke depression admitted to Zhongshan Hospital Affiliated to Xiamen University from February 2021 to September 2022 were selected and divided into observation group and control group with 50 cases in each group by random number table method.Patients with poststroke depression in the control group received routine nursing,while patients with poststroke depression in the observation group received attribution-based two-heart nursing.The improvement of sleep quality,poor psychological score and quality of life of patients with post-stroke depression before and after nursing were compared between the two groups.Results There was no significant difference in sleep quality between the two groups before nursing(P>0.05),and the above scores of patients with post-stroke depression were improved between the two groups after nursing(P<0.05).The sleep time of patients with post-stroke depression in the observation group was longer than that in the control group,the sleep latency and adverse psychological scores were lower than those in the control group,and the sleep efficiency and quality of life scores were higher than those in the control group,with statistical significance(P<0.05).Conclusions Two-heart nursing based on attribution theory can effectively improve the psychological state and quality of life of patients with post-stroke depression,and improve their sleep quality.

关 键 词：卒中后抑郁 归因理论 双心护理 心理状态 生活质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]