摘要
目的探究在基于罗伊适应理论护理对脑卒中患者情绪障碍及神经功能缺损改善影响。方法回顾性分析2015年1—2月及2015年4—5月本科收治的共82例脑卒中患者的护理干预措施,分别为常规护理组与罗伊护理组各41例。常规护理组接受常规药物及一般康复锻炼护理,罗伊护理组在其基础上增加基于罗伊适应理论的心理干预综合护理。以焦虑自评量表(SAS)、抑郁自评量表(SDS)、神经功能缺损程度量表(CNS)评分进行护理2周前后2组脑卒中患者情绪障碍及神经功能缺损的比较。结果护理干预前2组患者情绪评分(SAS、SDS)与神经功能评分(CNS)均无显著差异(P>0.05);护理干预后,罗伊护理组SAS、SDS及CNS评分显著低于常规护理组(P<0.05),且罗伊护理组干预前后3项评分差异均有显著意义(P<0.05),常规护理组干预前后3项评分无显著差异(P>0.05)。结论基于罗伊适应理论的心理干预能显著改善脑卒中患者情绪障碍及神经功能缺损,值得在临床推广。
Objective To investigate the influence of nursing intervention based on Roy adaption theory on improving mood disorder and neurological deficit in patients with stroke. Methods Nursing measures of 82 patients diagnosed with stroke admitted in our department from January to February 2015 and from April to May 2015 were retrospectively analyzed,and were divided into conventional group（ n = 41） and Roy group（ n = 41）. Conventional group received conventional medical care and general rehabilitation exercise,and Roy group added comprehensive care for psychological intervention based on Roy adaption theory. After nursing intervention,mood disorder and neurological deficit were compared by self-anxiety scale（ SAS）,self-Rating Depression scale（ SDS） and neurological deficits scale（ CNS）. Results There was no significant difference in SAS,SDS and CNS between conventional group and Roy group before nursing intervention（ P 〉0. 05）,but the scores of SAS,SDS and CNS in Roy group were significantly lower than conventional group after nursing intervention（ P〈 0. 05） and decreased significantly（ P〈 0. 05）,and conventional group showed no significant difference after nursing intervention（ P〉 0. 05）. Conclusion The comprehensive care for psychological intervention based on Roy adaption theory can significantly improve mood disorder and neurological deficit of stroke patients,which is worthy of popularization.
出处
《实用临床医药杂志》
CAS
2017年第4期20-22,共3页
Journal of Clinical Medicine in Practice
关键词
脑卒中
罗伊护理
情绪障碍
神经功能缺损
stroke
Roy nursing intervention
mood disorder
neurological deficit
