个性化心理护理对脑梗死患者焦虑及抑郁情绪的影响  

The Influence of Personalized Psychological Nursing on Anxiety and Depression of Patients with Cerebral Infarction

作　　者：张燕苓 范国峰 王金星 ZHANG Yanling;FAN Guofeng;WANG Jinxing(Department of NeurologyⅡ,Yanzhou District People's Hospital of Jining City,Jining,Shandong,272100,China;Department of Emergency Medicine,Yanzhou District People's Hospital of Jining City,Jining,Shandong,272100,China;Emergency Clinic,Yanzhou District People's Hospital of Jining City,Jining,Shandong,272100,China)

机构地区：[1]济宁市兖州区人民医院神经内二科,山东济宁272100 [2]济宁市兖州区人民医院急诊医学科,山东济宁272100 [3]济宁市兖州区人民医院急诊门诊,山东济宁272100

出　　处：《中外医疗》2025年第7期84-89,共6页China & Foreign Medical Treatment

摘　　要：目的探讨个性化心理护理干预对脑梗死患者负性心理和预后的影响。方法方便选取2022年6月—2023年6月济宁市兖州区人民医院收治的78例脑梗死患者为研究对象,按照不同护理方法分为对照组和观察组,每组39例,对照组开展常规心理护理,观察组采用个性化心理护理。比较两组的焦虑抑郁程度、心理健康度、护理依从性、医学应对方式、睡眠质量。结果护理后,观察组广泛性焦虑障碍量表7、健康问卷抑郁量表9、90项症状清单评分均低于对照组,差异均有统计学意义(P均<0.05)。观察组护理总依从性为94.87%(37/39),高于对照组的76.92%(30/39),差异有统计学意义(χ^(2)=5.186,P=0.023)。护理后,观察组应对方式中面对、回避、屈服维度评分均优于对照组,差异均有统计学意义(P均<0.05)。观察组匹兹堡睡眠质量指数低于对照组,差异有统计学意义(P<0.05)。结论个性化心理护理的实施有利于改善脑梗死患者焦虑抑郁情绪,维持健康心理状态,从而改善患者应对方式并提高其护理依从性,进一步提高睡眠质量,保障良好预后。Objective To explore the influence of personalized psychological nursing intervention on the psychology and prognosis of patients with cerebral infarction.Methods A total of 78 patients with cerebral infarction admitted to Yanzhou District People's Hospital of Jining City from June 2022 to June 2023 were conveniently selected as the research objects.According to different nursing methods,they were divided into control group and observation group,with 39 cases in each group.The control group was given routine psychological nursing,and the observation group was given personalized psychological nursing.The degree of anxiety and depression,mental health,nursing compliance,medical coping style and sleep quality were compared between the two groups.Results After nursing,the scores of Generalized Anxiety Disorder-7,Patient Health Questionnaire-9 and Symptom Check List-90 in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The total nursing compliance of the observation group was 94.87%(37/39),which was higher than 76.92%(30/39)of the control group,and the difference was statistically significant(χ^(2)=5.186,P=0.023).After nursing,the scores of confrontation,avoidance and yield dimensions in the coping style of the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).The Pittsburgh Sleep Quality Index of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of personalized psychological care is conducive to improving the anxiety and depression of patients with cerebral infarction,maintaining a healthy psychological state,thus improving their coping style and nursing compliance,further improving the quality of sleep and ensuring a good prognosis.

关 键 词：个性化心理护理 脑梗死 焦虑 抑郁 生活质量 

分 类 号：R248.1[医药卫生—中医临床基础]