心理护理干预对中青年缺血性脑卒中患者负性情绪及依从性的影响

Abstract
Figure/Table
References (20)
Related Citation (3)

Download: PDF (553 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the effect of psychological nursing intervention on the negative emotional and compliance for patients with ischemic stroke. Methods From April 2016 to April 2017, 90 cases of young patients with ischemic stroke were treated in Wanbei Coal and Electricity Group General Hospital were selected and divided into the control group and the observation group according to the random number table method, 45 cases in each group. The control group was given routine nursing care, the observation group on based of the control group was given psychological nursing intervention. Both groups were continuously nursing for 3 months. The nerve function defect score (NIHSS) scores, daily life ability score (ADL) before and after treatment, and the negative emotions and compliance were compared between two groups. Results After nursing, the NHISS scores decreased significantly and the ADL scores of two groups increased significantly compared with before the nursing. The scores of NHISS and ADL in the observation group were significantly improved compared with those in the control group, the differences were statistically significant （P ＜ 0.05）. After nursing, the scores of SAS and SDS in the two groups decreased significantly compared with those before nursing, and the scores of SAS and SDS in the observation group were significantly lower than those in the control group, the differences were statistically significant （P ＜ 0.05）. The compliance rate of the control group was 75.56% after treatment, and the compliance rate of the observation group was 93.33% after treatment, there was a significant difference in the treatment compliance between the observation group and the control group, the difference was statistically significant （P ＜ 0.05）. Conclusion In the process of treatment young patients with ischemic stroke, psychological nursing intervention on base of routine nursing can help promote recovery of neurological function and daily living ability, relieve negative emotions and improve treatment compliance.

Key words： Psychological care intervention Young ischemic stroke Negative emotions Compliance

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CHENG Min1 WANG Xinyan2 ZHANG Cheng2

Cite this article:

CHENG Min1 WANG Xinyan2 ZHANG Cheng2. The effects of psycho-care intervention on the negative emotional and compliance for the young ischemic stroke patients[J]. 中国医药导报, 2018, 15(1): 167-170.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I1/167

[1] 张鹏，毕齐.青年卒中的危险因素及病因学调查分析[J].中国卒中杂志，2012，7（4）：264-265.
[2] 毛杰，杨相凤.早期康复训练对脑出血偏瘫患者功能的影响[J].海南医学院学报，2013，19（3）：90-91.
[3] 戴亚萍，王登艾，张英姿.治疗性沟通系统对急性脑卒中患者焦虑抑郁情绪和治疗依从性的护理干预[J].实用临床医药杂志，2014，18（3）：17-18.
[4] 王薇薇，王新德.第六届全国脑血管病学术会议纪要[J].中华神经科杂志，2004，37（4）：90-91.
[5] 何敏琴，吴彩虹，李岩，等.早期高压氧联合下肢康复机器人训练对脑卒中偏瘫患者步行能力的影响[J].中国康复医学杂志，2015，30（4）：345-346.
[6] 周璜.综合护理干预模式对脑卒中患者康复期生活质量的影响[J].实用心脑肺血管病杂志，2014，22（12）：153-154.
[7] 王雪晴，林红，甄君，等.高压氧结合康复训练对缺血性脑卒中患者偏瘫肢体运动能力的影响[J].中华物理医学与康复杂志，2013，35(5)：375-378.
[8] 刘晓华.脑卒中患者的护理研究[J].实用心脑肺血管病杂志，2013，21（7）：155-156.
[9] 侯岩芳，刁振明.应用ADL量表实施分级护理对基础护理及分级服务满意度的影响[J].护士进修杂志，2008，23（1）：345-346.
[10] 范青，季建林，肖泽萍，等.综合医院焦虑抑郁量表在内科门诊病人中的应用[J].中国心理卫生杂志，2010，24（5）：89-90.
[11] 包华，杨述鸣，张小平.针灸联合康复治疗脑卒中急性期吞咽困难疗效观察[J].内蒙古中医药，2011，9（7）：41-42.
[12] 曹燕竹.心理干预对脑卒中伴抑郁焦虑患者治疗依从性和生活质量的作用[J].中国实用神经疾病杂志，2014， 17（21）：135-136.
[13] 王红，康小前，祁佳.心理护理干预对青年缺血性脑卒中患者焦虑抑郁共病的影响[J].实用临床医药杂志，2015， 19（14）：14-15.
[14] 芮雪，吴淑芳，潘卫萍.早期康复护理对脑卒中患者运动功能、ADL及肩手综合征发生率的影响[J].现代中西医结合杂志，2012，21（29）：3283-3284.
[15] 朱素琴，陈松芳．综合性心理护理干预对高血压脑出血患者治疗遵医行为、并发症、护理满意度和预后的影响[J]．中国现代医生，2014，52：108-110．
[16] 朱晨茜，赵江丽，王春霞.脑卒中护理咨询门诊的建立与思考[J].齐鲁护理杂志，2016，22（7）：123-124.
[17] 蒋菊芳，许玉芳，丁兰芬，等.认知行为干预对抑郁症病人应对方式和生存质量的影响[J].护理研究，2013，27（11）：3608-3610.
[18] 姜昭，王亚平，郭承承.神经肌肉电刺激治疗脑卒中后吞咽障碍的疗效观察[J].中华物理医学与康复杂志，2012， 34（5）：357-360.
[19] 袁丽英，芮雪.综合护理干预在脑卒中后抑郁患者护理中的效果分析[J].中外医学研究，2013，11（31）：116-117.
[20] 卢菊清，沈群芳，夏荷秀，等.早期康复护理干预对急性脑卒中患者认知及神经功能的影响[J].中国药物与临床，2012，12（10）：1372-1373.