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目的分析病情和家庭情况对脑卒中患者心理状态的影响及对症心理护理干预的临床效果。方法按照入院顺序抽签后随机将96例脑卒中患者分为实验组和对照组,对照组患者接受常规护理干预,实验组患者在此基础对症心理护理干预,比较两组患者病情和家庭情况以及护理干预效果。结果心理障碍组患者偏瘫、吞咽障碍、言语障碍、家庭成员关心较差、配偶死亡、治疗信念较差的发生率均显著高于心理健康组(P<0.05);实验组患者干预后HAMD评分和HAMA评分显著低于对照组(P<0.05);实验组患者干预后MMSE评分和WHOQOL-BREF评分显著高于对照组(P<0.05)。结论功能障碍、关心不足和治疗信念差是影响脑卒中患者心理状态的主要因素,实施对症心理护理干预能够有效改善患者心理状态、认知功能和生活质量,应用价值较高。
Objective To analyze the effect of illness and family condition on the psychological status of patients with stroke and the clinical effect of symptomatic psychological nursing intervention. Methods According to the order of admission, 96 patients with stroke were randomly divided into experimental group and control group. Patients in control group received routine nursing intervention. Patients in experimental group were divided into two groups based on symptomatic psychological nursing intervention. The condition and family situation, Intervention effect. Results The incidence of hemiplegia, dysphagia, speech impairment, poor family members’ care, death of spouse and poor treatment belief in patients with mental disorders were significantly higher than those in mental health groups (P <0.05). HAMD score and HAMA score was significantly lower than that of the control group (P <0.05). MMSE score and WHOQOL-BREF score of the experimental group were significantly higher than those of the control group after intervention (P <0.05). Conclusions Dysfunction, lack of care and poor treatment belief are the main factors that influence the mental state of patients with stroke. To implement symptomatic psychological nursing intervention can effectively improve the psychological status, cognitive function and quality of life of patients with high application value.