脑卒中患者心理障碍风险因素调查及对症心理护理干预研究

Investigative the risk factor of stroke patients with psychological disorder and the effect of symptomatic psychosocial nursing

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(2)
作者
作者单位

重庆市大足区人民医院护理部 ;
重庆市大足区人民医院神经内科 ;

摘要
摘要 调查脑卒中患者心理障碍风险因素并分析对症心理护理干预的临床效果。方法 按照入院顺序抽签后随机将96例脑卒中患者分为实验组和对照组,对照组患者接受常规护理干预,实验组患者在此基础对症心理护理干预,比较两组患者预后效果。结果 心理障碍组患者偏瘫、吞咽障碍、言语障碍、家庭成员关心较差、配偶死亡、治疗信念较差的发生率均显著高于心理健康组,差异有统计学意义(P<0.05);实验组患者干预后HAMD评分和HAMA评分显著低于对照组,差异有统计学意义(P<0.05);实验组患者干预后MMSE评分和WHOQOL-BREF评分显著高于对照组,差异有统计学意义(P<0.05)。结论 功能障碍、关心不足和治疗信念差是诱发脑卒中患者心理障碍的主要风险因素,实施对症心理护理干预能够有效改善患者心理状态、认知功能和生活质量,应用价值较高。
Abstract
Abstract Objective To investigative the risk factor of stroke patients with psychological disorder and the effect of symptomatic psychosocial nursing. Methods 98 cases of stroke patients were randomly divided into experiment group and control group. The control group were nursed by routine nursing. The experiment group were nursed by symptomatic psychosocial nursing based on routine nursing. The prognosis effect were observed. Results The rate of hemiplegia, dysphagia, lalopathy, poor family care, Spouse death and poor faith healing for psychological disorder group were higher than psychological health group(P<0.05); The level of HAMD score and HAMA score for experiment group after intervening were lower than control group(P<0.05); The level of MMSE score and WHOQOL-BREF score for experiment group after intervening were higher than control group(P<0.05). Conclusion The risk factor of stroke patients with psychological disorder are dysfunction, poor care and poor faith healing. It can improve the psychological states, cognitive function and living quality for the stroke patients with symptomatic psychosocial nursing. It has high application value.
关键词
关键词 脑卒中;心理障碍;对症心理护理
KeyWord
Keywords Stroke; Psychological disorder; Symptomatic psychosocial nursing
基金项目
页码 315-317
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唐运兰,陈明翠,刘家骥,李小芳*. 脑卒中患者心理障碍风险因素调查及对症心理护理干预研究 [J]. 国际精神病学杂志. 2017; 44; (2). 315 - 317.

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