心理护理对脑卒中后遗症患者负性情绪的影响研究
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摘要
目的探讨脑卒中后遗症患者采取心理护理干预对负面情绪的影响。方法抽取我院2016年1月～2017年12月期间收入脑卒中后遗症患者80例,按照护理模式不同分为两组,对照组40例予以常规护理,观察组40例在对照组基础上联合心理护理,并对两组干预前后焦虑、抑郁情绪、依从性、护理满意度进行比较。结果两组护理前SAS、SDS评分差异无意义(P>0.05),护理后观察组SAS、SDS评分低于对照组,两组差异有统计学意义(P<0.05),两组护理前后SAS、SDS评分差异有统计学意义(P<0.05),观察组护理后服药依从性、康复锻炼依从性、定期复诊依从性评分高于对照组,两组差异有统计学意义(P<0.05),观察组护理总满意度97.5%,高于对照组85.0%,两组差异有统计学意义(P<0.05)。结论脑卒中后遗症患者予以心理护理措施干预,能改善患者负面情绪,提高治疗依从性及其护理满意度,值得临床推广应用。
Objective To explore the impact of psychological nursing intervention on negative emotions in patients with stroke sequelae. Methods Eighty patients with stroke sequelae treated in our hospital from January 2016 to December2017 were selected and divided into two groups according to different nursing modes. 40 patients in the control group were given routine nursing care, and 40 patients in the observation group were additionally given psychological care.The anxiety, depression, compliance, and nursing satisfaction of the two groups before and after intervention were compared. Results There was no significant difference in SAS and SDS scores between the two groups before intervention(P >0.05). After intervention, the SAS and SDS scores of the observation group were lower than those of the control group. The difference between the two groups was statistically significant(P<0.05). There were significant differences in SAS and SDS scores between the two groups before and after nursing(P<0.05). The medication compliance, rehabilitation exercise compliance, and regular follow-up compliance scores in the observation group were higher than those in the control group. The differences between the two groups were statistically significant(P<0.05). The total satisfaction of the observation group was 97.5%, which was higher than the control group(85.0%). The difference between the two groups was statistically significant(P<0.05). Conclusion Psychological nursing intervention for patients with stroke sequelae can relieve patients' negative emotions and improve treatment compliance and nursing satisfaction, and it is worthy of clinical application.
Objective To explore the impact of psychological nursing intervention on negative emotions in patients with stroke sequelae. Methods Eighty patients with stroke sequelae treated in our hospital from January 2016 to December2017 were selected and divided into two groups according to different nursing modes. 40 patients in the control group were given routine nursing care, and 40 patients in the observation group were additionally given psychological care.The anxiety, depression, compliance, and nursing satisfaction of the two groups before and after intervention were compared. Results There was no significant difference in SAS and SDS scores between the two groups before intervention(P >0.05). After intervention, the SAS and SDS scores of the observation group were lower than those of the control group. The difference between the two groups was statistically significant(P<0.05). There were significant differences in SAS and SDS scores between the two groups before and after nursing(P<0.05). The medication compliance, rehabilitation exercise compliance, and regular follow-up compliance scores in the observation group were higher than those in the control group. The differences between the two groups were statistically significant(P<0.05). The total satisfaction of the observation group was 97.5%, which was higher than the control group(85.0%). The difference between the two groups was statistically significant(P<0.05). Conclusion Psychological nursing intervention for patients with stroke sequelae can relieve patients' negative emotions and improve treatment compliance and nursing satisfaction, and it is worthy of clinical application.
引文
[1]肖花,范寒院,杨慧,等.社区康复护理对脑卒中后遗症期患者心理状态与生活质量影响[J].护理实践与研究,2017,14(10):155-156.
[2]陈赟,钟印芹,张广清,等.专人管理模式在脑卒中偏瘫后遗症家庭康复护理中应用的效果评价[J].中国实用护理杂志,2015,31(9):654-656.
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[5]吴福珍,黄颖,陈秋蓉,等.社区护理干预对脑卒中后遗症患者生存质量的影响[J].护士进修杂志,2014,29(22):2092-2093.
[6]刘方.基于保护动机理论的延续性护理干预对脑卒中后遗症患者遵医行为及家属负性情绪的影响[J].中国实用神经疾病杂志,2017,20(10):127-129.
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[8]臧秀英.社区康复护理在脑卒中后遗症患者中的应用效果[J].国际护理学杂志,2015,34(9):1173-1174.
[9]薛杨,赵霞,宁小香,等.脑卒中后遗症患者一例的家庭护理[J].解放军护理杂志,2014,31(5):56-57.
[10]崔玉芬,田敏,王娟,等.老年脑卒中后遗症期压疮危险因素分析及干预效果评价[J].护理研究,2016,30(34):4305-4308.
[11]郭爱霞.护理指导在脑卒中后遗症患者日常生活及运动功能恢复中的作用[J].国际护理学杂志,2017,36(11):1534-1536.
[12]王雪,洪利.延续心理护理对脑卒中后遗症患者负性情绪的影响[J].实用医学杂志,2016,32(8):1352-1355.
[13]张静.脑卒中后遗症家庭康复护理模式[J].山西医药杂志,2015,44(21):2578-2580.
[14]田凌,谢家兴,张静,等.社区综合康复管理对脑卒中后遗症患者生活质量的影响[J].中国康复理论与实践,2016,22(12):1467-1470.
[15]范寒院,李浅峰,周梅君,等.居家康复护理对脑卒中后遗症患者生存质量的影响[J].护理实践与研究,2017,14(6):53-54.
[16]高彩云,帕丽达·买买提,茹克亚古丽·买买提,等.综合康复干预对脑卒中后遗症期偏瘫患者的效果[J].中国医药导报,2017,14(8):152-155.
[17]杨玉玲,王丽.脑卒中患者后遗症期运动知识-态度-社会支持问卷的编制及信效度检验[J].解放军护理杂志,2018,35(8):27-30,34.
[18]朱娟,郑丹,刘艳,等.延续性心理护理对脑卒中后遗症患者生活质量的影响[J].中国急救医学,2017,37(z1):209-210.
[19]范凤媚,欧秀琴,成嫣,等.脑卒中53例早期康复护理干预[J].齐鲁护理杂志,2014,20(5):102-103.
[20]林宏春.早期康复护理对脑卒中偏瘫患者临床效果及肢体功能恢复的影响[J].国际护理学杂志,2018,37(1):63-65.
[2]陈赟,钟印芹,张广清,等.专人管理模式在脑卒中偏瘫后遗症家庭康复护理中应用的效果评价[J].中国实用护理杂志,2015,31(9):654-656.
[3]王雪,洪利,陈建明,等.延续心理护理对脑卒中后遗症患者及家属负性情绪的影响[J].河北医药,2016,38(9):1437-1440.
[4]魏桂萍.对肢体偏瘫患者实施激励式心理护理体会[J]中国药物与临床,2017,17(3):456-457.
[5]吴福珍,黄颖,陈秋蓉,等.社区护理干预对脑卒中后遗症患者生存质量的影响[J].护士进修杂志,2014,29(22):2092-2093.
[6]刘方.基于保护动机理论的延续性护理干预对脑卒中后遗症患者遵医行为及家属负性情绪的影响[J].中国实用神经疾病杂志,2017,20(10):127-129.
[7]黄璐诗.康复护理组合对脑卒中后遗症患者功能恢复的影响[J].齐鲁护理杂志,2017,23(19):107-108.
[8]臧秀英.社区康复护理在脑卒中后遗症患者中的应用效果[J].国际护理学杂志,2015,34(9):1173-1174.
[9]薛杨,赵霞,宁小香,等.脑卒中后遗症患者一例的家庭护理[J].解放军护理杂志,2014,31(5):56-57.
[10]崔玉芬,田敏,王娟,等.老年脑卒中后遗症期压疮危险因素分析及干预效果评价[J].护理研究,2016,30(34):4305-4308.
[11]郭爱霞.护理指导在脑卒中后遗症患者日常生活及运动功能恢复中的作用[J].国际护理学杂志,2017,36(11):1534-1536.
[12]王雪,洪利.延续心理护理对脑卒中后遗症患者负性情绪的影响[J].实用医学杂志,2016,32(8):1352-1355.
[13]张静.脑卒中后遗症家庭康复护理模式[J].山西医药杂志,2015,44(21):2578-2580.
[14]田凌,谢家兴,张静,等.社区综合康复管理对脑卒中后遗症患者生活质量的影响[J].中国康复理论与实践,2016,22(12):1467-1470.
[15]范寒院,李浅峰,周梅君,等.居家康复护理对脑卒中后遗症患者生存质量的影响[J].护理实践与研究,2017,14(6):53-54.
[16]高彩云,帕丽达·买买提,茹克亚古丽·买买提,等.综合康复干预对脑卒中后遗症期偏瘫患者的效果[J].中国医药导报,2017,14(8):152-155.
[17]杨玉玲,王丽.脑卒中患者后遗症期运动知识-态度-社会支持问卷的编制及信效度检验[J].解放军护理杂志,2018,35(8):27-30,34.
[18]朱娟,郑丹,刘艳,等.延续性心理护理对脑卒中后遗症患者生活质量的影响[J].中国急救医学,2017,37(z1):209-210.
[19]范凤媚,欧秀琴,成嫣,等.脑卒中53例早期康复护理干预[J].齐鲁护理杂志,2014,20(5):102-103.
[20]林宏春.早期康复护理对脑卒中偏瘫患者临床效果及肢体功能恢复的影响[J].国际护理学杂志,2018,37(1):63-65.