本文選題：腦卒中 + 延續(xù)護(hù)理　； 參考：《實(shí)用醫(yī)學(xué)雜志》2016年08期

【摘要】：目的:探討延續(xù)心理護(hù)理對(duì)腦卒中后遺癥患者負(fù)性情緒的影響。方法:采用非同期臨床對(duì)照試驗(yàn),選取170例出院腦卒中后遺癥患者分為對(duì)照組和觀察組。對(duì)照組僅對(duì)患者實(shí)施電話隨訪,觀察組在此基礎(chǔ)上實(shí)施延續(xù)心理護(hù)理,于患者出院時(shí)、出院14 d、2個(gè)月、6個(gè)月時(shí)分別使用焦慮自評(píng)量表(SAS)、抑郁自評(píng)量表(SDS)對(duì)兩組患者的負(fù)性情緒進(jìn)行測(cè)評(píng),并對(duì)兩組患者治療依從性進(jìn)行比較。結(jié)果:觀察組患者在出院14 d、2個(gè)月、6個(gè)月時(shí)的SAS、SDS評(píng)分顯著低于同時(shí)期對(duì)照組患者(P0.05),觀察組患者出院6個(gè)月時(shí)的SAS、SDS評(píng)分顯著低于出院時(shí)(P0.05),對(duì)照組患者出院6個(gè)月時(shí)的SAS、SDS評(píng)分與出院時(shí)相比,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。觀察組患者的治療依從性評(píng)分顯著高于對(duì)照組(P0.05)。結(jié)論:延續(xù)心理護(hù)理能顯著改善腦卒中后遺癥患者的焦慮與抑郁狀態(tài),并能有效提高患者康復(fù)治療的依從性。
[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.
【作者單位】： 河南省南陽(yáng)市第二人民醫(yī)院神經(jīng)內(nèi)科;河南省南陽(yáng)市第一人民醫(yī)院防�？�;
【基金】：2015年南陽(yáng)市科技發(fā)展軟科學(xué)項(xiàng)目(編號(hào):RKX-05)
【分類號(hào)】：R473.74

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