延续心理护理对脑卒中后遗症患者负性情绪的影响

发布时间：2018-05-16 14:52

本文选题：脑卒中 + 延续护理　；参考：《实用医学杂志》2016年08期

【摘要】：目的:探讨延续心理护理对脑卒中后遗症患者负性情绪的影响。方法:采用非同期临床对照试验,选取170例出院脑卒中后遗症患者分为对照组和观察组。对照组仅对患者实施电话随访,观察组在此基础上实施延续心理护理,于患者出院时、出院14 d、2个月、6个月时分别使用焦虑自评量表(SAS)、抑郁自评量表(SDS)对两组患者的负性情绪进行测评,并对两组患者治疗依从性进行比较。结果:观察组患者在出院14 d、2个月、6个月时的SAS、SDS评分显著低于同时期对照组患者(P0.05),观察组患者出院6个月时的SAS、SDS评分显著低于出院时(P0.05),对照组患者出院6个月时的SAS、SDS评分与出院时相比,差异无统计学意义(P0.05)。观察组患者的治疗依从性评分显著高于对照组(P0.05)。结论:延续心理护理能显著改善脑卒中后遗症患者的焦虑与抑郁状态,并能有效提高患者康复治疗的依从性。
[Abstract]:Objective: to explore the effect of continuous psychological nursing on negative emotion of patients with stroke sequelae. Methods: 170 patients with discharged stroke sequelae were divided into control group and observation group. In the control group, the patients were followed up by telephone only, and the observation group was given continuous psychological nursing on this basis, when the patients were discharged from hospital, At 14 days, 2 months and 6 months after discharge, the negative emotions of the two groups were measured with self rating anxiety scale (SAS) and self rating Depression scale (SDS), and the therapeutic compliance of the two groups was compared. Results: at 14 days, 2 months and 6 months after discharge, the SDS scores of patients in the observation group were significantly lower than those in the control group (P 0.05). The scores of the patients in the observation group were significantly lower than those in the control group at 6 months after discharge. The scores of the patients in the control group were significantly lower than those in the control group at 6 months after discharge. The SDS score of SSA was compared with that at the time of discharge. The difference was not statistically significant (P 0.05). The score of therapeutic compliance in the observation group was significantly higher than that in the control group (P 0.05). Conclusion: continuous psychological nursing can significantly improve the anxiety and depression of patients with stroke sequelae, and can effectively improve the compliance of patients with rehabilitation treatment.
【作者单位】：河南省南阳市第二人民医院神经内科;河南省南阳市第一人民医院防保科;
【基金】：2015年南阳市科技发展软科学项目(编号:RKX-05)
【分类号】：R473.74

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