心理护理干预对脑血栓患者遵医嘱行为的影响

Effect of psychological nursing intervention on compliance behavior of patients with cerebral thrombosis

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(4)
作者
作者单位

郑州大学第一附属医院 ;

摘要
目的:探讨心理护理干预对脑血栓患者遵医嘱行为及生活质量的影响。方法:将本院于2016年7月至2018年7月期间收治的脑血栓患者72例进行研究,随机分组,对照组开展常规护理干预,观察组加强心理护理干预,各36例,评价两组患者遵医嘱行为,并观察患者心理状态、神经功能及生活质量变化。结果:观察组遵医嘱行为各指标97.22%、91.67%、91.67%、94.44%均显著高于对照组80.56%、69.44%、72.22%、61.11%,P<0.05;出院时及出院1个月观察组患者焦虑、抑郁评分逐渐降低,且与同时间段对照组比较显著更低,P<0.05;出院时及出院1个月观察组神经功能及生活质量评分明显改善,且评分均显著优于同时间段对照组,P<0.05。结论:针对脑血管患者在常规护理基础上加强心理护理干预可进一步调节其焦虑、抑郁等心理状态,提高其遵医嘱行为,积极配合治疗及康复工作,利于从多个角度改善生活质量,护理效果较好。
Abstract
Objective: To explore the effect of psychological nursing intervention on compliance behavior and quality of life of patients with cerebral thrombosis. Methods: 72 patients with cerebral thrombosis admitted to our hospital from July 2016 to July 2018 were randomly divided into two groups. The control group was given routine nursing intervention. The observation group was given psychological nursing intervention, 36 cases in each group. The compliance behavior of the two groups was evaluated, and the changes of patientspsychological state, neurological function and quality of life were observed. Results: The indexes of compliance behavior in the observation group were 97.22%, 91.67%, 91.67% and 94.44% higher than those in the control group (80.56%, 69.44%, 72.22%, 61.11%, P < 0.05); the scores of anxiety and depression in the observation group decreased gradually at discharge and one month after discharge, and were significantly lower than those in the control group at the same time, P < 0.05; the scores of neurological function and quality of life in the observation group at discharge and one month after discharge were significantly lower than those in the control group (P < 0.05). The scores were significantly better than those of the control group at the same time, P < 0.05. Conclusion: Strengthening psychological nursing intervention for cerebrovascular patients on the basis of routine nursing can further regulate their anxiety and depression, improve their compliance with doctors advice, actively cooperate with the treatment and rehabilitation work, help to improve the quality of life from various angles, and the nursing effect is better.
关键词
心理护理;脑血栓;遵医嘱行为;生活质量
KeyWord
psychological nursing; cerebral thrombosis; compliance behavior; quality of life
基金项目
页码 744-747
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宁世杰*. 心理护理干预对脑血栓患者遵医嘱行为的影响 [J]. 国际精神病学杂志. 2019; 46; (4). 744 - 747.

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