脑卒中康复患者心理状态情况和综合护理干预效果研究

The mental state and comprehensive nursing intervention researching of stroke patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(6)
作者
作者单位

西电集团医院康复医学科 ;

摘要
【摘要】 探讨脑卒中患者常见的心理状态,分析综合护理干预对于此类患者心理状态的改善效果。方法 选取2014年6月-2016年1月期间我院收治的脑卒中患者176例作为本研究对象,采用阳性与阴性症状量表PANSS、焦虑自评量表SAS、抑郁自评量表SDS、症状自评量表SCL-90以及脑卒中专用生活质量量表SS-QOL和功能独立性量表FIM来分析所研究患者是否处于焦虑抑郁状态。随机将所有患者分为两组,研究组给予综合性护理干预,对照组仅给予一般的护理。比较两组患者护理后的心理状况,同时将结果进行统计学分析。结果 护理干预前,两组患者的各项指标评分比较差异不具有统计学意义(P>0.05)。而经过护理干预后,综合护理组患者的PANSS评分下降更加明显,同时SAS、SDS、SCL-90评分显著低于一般对照组患者,而SS-QOL、FIM评分显著高于一般对照组,差异均具有统计学意义(P<0.05)。结论 脑卒中患者焦虑、恐惧、抑郁症状明显,针对性的采取综合性护理干预,能够明显改善患者的焦虑抑郁状态,继而为患者建立起积极向上的生活状态,提高治疗效果,值得推广应用。
Abstract
【Abstract】 Objective:To discussion the common mental state of stroke patients,and analyze the improving effect of comprehensive nursing intervention for mental state of those patients.Methods:Selecting 176 cases stroke patients in our hospital as the present study June 2014 to January 2016,using the Positive and Negative Syndrome Scale PANSS, Self-Rating Anxiety Scale SAS, Self-rating Depression Scale SDS, Symptom Checklist SCL-90-specific quality of life scale and stroke SS-QOL and functional independence scale FIM study to analyze whether the patient is in the state of anxiety and depression. All patients were randomly divided into two groups, the study group received comprehensive nursing intervention,and the control group received usual care. Two groups were compared after mental health care, and the results were analyzed statistically.Results:Before nursing intervention,the differences of index scores between the two groups were not significant statistically(P>0.05).But after nursing intervention, PANSS score of integrated care group were decreased more significantly, while the SAS, SDS, SCL-90 scores were significantly lower than normal control patients, while SS-QOL, FIM scores were higher than the control group significantly,and the differences were significant statistically (P<0.05).Conclusion:Anxiety,fear and depression symptoms were evident in stroke patients,taking targeting comprehensive nursing intervention can significantly improve the state of anxiety and depression in those patients,then building positive living conditions for the patient, improving the treating effect,should be widely applied.
关键词
关键词:脑卒中;焦虑抑郁;综合护理;疗效
KeyWord
key words:stroke;anxiety and depression;comprehensive nursing;efficacy
基金项目
页码 1065-1069
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赵睿*,王笑忆,仵晓庆,桑文霞. 脑卒中康复患者心理状态情况和综合护理干预效果研究 [J]. 国际精神病学杂志. 2016; 43; (6). 1065 - 1069.

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