心理护理综合干预对脑卒中患者生命质量及主观幸福感的影响

发布时间：2018-01-25 23:01

本文关键词： 脑卒中生命质量 SF-量表主观幸福感量表心理护理综合干预　出处：《中国卫生统计》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨心理护理综合干预对脑卒中患者生命质量及主观幸福感的影响。方法本研究选取神经内科脑卒中患者310人,其中心理护理综合干预组200人,对照组110人。对照组患者采用神经内科常规治疗,干预组患者从入院起在常规治疗的基础上进行心理护理综合干预至出院时结束,平均干预时间4～6周。采用SF-36健康调查表和M UN-SH主观幸福感量表对两组脑卒中患者干预前后的生命质量和主观幸福感状况进行评分,评价心理护理综合干预对脑卒中患者的影响,并采用多重线性回归分析其影响因素。结果心理护理综合干预组在生理功能(PF)、生理职能(RP)、躯体疼痛(BP)、总体健康(GH)、活力(VT)、社会功能(SF)、情感职能(RE)、精神健康(MH)等8个维度得分均高于对照组,差异具有统计学意义(t=15.070、7.777、48.839、14.448、8.875、14.422、8.525、22.629,P0.05),但两组间主观幸福感的差异无统计学意义(t=0.775,P0.05)。年龄、年总收入、心理护理综合干预等因素可在不同维度上影响患者生命质量,吸烟及年总收入为主观幸福感的保护因素,年龄为主观幸福感的危险因素。结论心理护理综合干预可提高脑卒中患者的生命质量,但对患者的主观幸福感无明显影响。
[Abstract]:Objective to explore the effect of comprehensive psychological nursing intervention on the quality of life and subjective well-being of stroke patients. There were 110 patients in the control group. The patients in the control group were treated with routine neurology. The patients in the intervention group received comprehensive psychological nursing intervention on the basis of routine treatment from admission to the end of discharge. The average intervention time was 4 to 6 weeks. SF-36 health questionnaire and M UN-SH subjective well-being scale were used to evaluate the quality of life and subjective well-being of stroke patients before and after intervention. Objective: to evaluate the influence of comprehensive psychological nursing intervention on stroke patients, and to use multiple linear regression analysis to analyze the influencing factors. The scores of eight dimensions of somatic pain, general health, VT, social function, affective function and mental health were higher than those of the control group. The difference was statistically significant (P < 0.05). The difference was statistically significant (P < 0.05). The difference was statistically significant (48.839 ~ 14.448 ~ 8.422 ~ 8.525 ~ 22.629). P 0.05, but the difference of subjective well-being between the two groups was not statistically significant. Comprehensive psychological nursing intervention and other factors can affect the quality of life of patients in different dimensions, smoking and annual total income are the protective factors of subjective well-being. Conclusion Comprehensive psychological nursing intervention can improve the quality of life of stroke patients, but it has no significant effect on subjective well-being.
【作者单位】：中国医科大学公共卫生学院卫生毒理学教研室;沈阳市第九人民医院;
【基金】：国家自然基金(81273118) 辽宁省自然科学基金(20170540991)
【分类号】：R473.74
【正文快照】： 脑卒中(stroke),亦称中风,是指突然发生的由脑血管病变引起的局限性或全脑功能障碍,持续时间超过24小时或致死亡的临床症候群[1],具有发病率高、病死率高、致残率高及复发率高四大特征。中国卒中协会2015年首次发布的中国卒中流行报告显示,目前我国每年新发脑血管病患者约270

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