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护理干预对急性脑梗死负性情绪及生活质量的影响 被引量:25

Nursing Intervention on the Quality of Life and Negative Emotions in Patients with Acute Cerebral Infarction
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摘要 目的:护理干预对急性脑梗死患者焦虑、抑郁及生活质量的影响。方法:选择符合标准的患者80例,随机分为观察组和对照组各40例,两组患者均给予常规护理,观察组加用护理干预,比较干预前后汉密尔顿焦虑量表-14项(HAMA-14)、汉密尔顿抑郁量表-21项(HAMD-21)及36条目简明健康量表(SF-36)评分。结果:干预前,两组患者HAMA-14及HAMD-21评分相似,差异均无统计学意义(P>0.05);干预后,两组HAMA-14及HAMD-21评分较入院时均下降,但观察组患者下降幅度更大,差异有统计学意义(P<0.05)。干预前,两组患者SF-36各维度评分相似,差异均无统计学意义(P>0.05);干预后,两组SF-36各维度评分较入院时均提高,但观察组患者提高幅度更大,差异有统计学意义(P<0.05)。结论:护理干预能有效改善急性脑梗死患者焦虑、抑郁等负性情绪,提高生活质量。 Objective: To study the effects of nursing intervention on the anxiety,depression,and quality of life in patients with acute cerebral infarction. Method: A total of 80 eligible patients were selected,and randomly divided into observation group and control group,with 40 patients in each group. The patients of both groups were given with usual care,while the patients of the observation group were given with nursing intervention additionally,and Hamilton anxiety scale- 14 items( HAMA-14),Hamilton's depression scale- 21 items( HAMD-21),and 36-item short-form health survey( SF-36) scores were compared before and after the intervention. Result: Before the intervention,the patients of the two groups had similar HAMA-14 and HAMD-21 scores,and the differences were both statistically insignificant( P〉0.05); after the intervention,the patients of both groups had decreased HAMA- 14 and HAMD- 21 scores when compared with those on admission,but the patients of the observation group had greater decreasing extents,and the differences were statistically significant( P〈0.05). Before the intervention,the patients of the two groups had similar SF-36 scores,and the difference was statistically insignificant( P〉0.05); after the intervention,the patients of both groups had increased SF-36 scores when compared with those on admission,but the patients of the observation group had greater increasing extent,and the difference was statistically significant( P〈0.05). Conclusion: Nursing intervention can effectively improve the negative emotions such as anxiety and depression,and elevate the quality of life in patients with acute cerebral infarction.
作者 熊凤清 林玉
出处 《河北医学》 CAS 2015年第10期1718-1721,共4页 Hebei Medicine
基金 四川省卫生厅科研课题 (编号:30305030256)
关键词 护理干预 急性脑梗死 焦虑 抑郁 生活质量 Nursing intervention Acute cerebral infarction Anxiety Depression Quality of life
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