摘要
目的:探讨提升希望感的心理干预对脑卒中患者希望水平及多项功能恢复的影响。方法:选取2020年1-12月某院收治的脑卒中患者120例作为研究对象,其中2020年1-6月的60例作为对照组,予以常规健康教育及心理辅导,2020年7-12月的60例作为观察组,在对照组基础上加以提升希望感的心理干预。两组均干预4周,分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、Herth希望量表(HHI)、Fugl-Meyer肢体评分、神经功能缺损程度评分、生活质量量表(SF-36)在干预前后评估两组患者的负性情绪、希望水平、肢体运动功能及神经功能、生活质量,并进行对比分析。结果:干预后观察组SAS及SDS评分均明显低于对照组(t=-3.065,-2.843;P<0.01);干预后观察组HHI与他人保持亲密关系、采取积极行为、对现实与未来的积极态度各维度及总分均明显高于对照组(t=5.776,4.504,7.332,10.337;P<0.001);干预后观察组Fugl-Meyer肢体评分明显高于对照组(t=3.420,P<0.01),神经功能缺损程度评分明显低于对照组(t=-2.699,P<0.01);干预后观察组SF-36社会功能、情感职能、生理机能、躯体疼痛、活力、精神健康、生理职能、总体健康各维度评分均明显高于对照组(t=5.342,6.962,5.916,7.298,5.536,5.836,5.258,8.859;P<0.001)。结论:提升希望感的心理干预可有效缓解脑卒中患者焦虑抑郁等负性情绪,增强其希望水平,改善其肢体、神经等功能,进而提高患者生活质量。
Objective:To explore the effect of psychological intervention to enhance hope on hope level and multiple functional recovery of stroke patients.Methods:A total of 120 stroke patients admitted to our hospital from January2020 to December 2020 were selected as the research objects,including 60 patients from January 2020 to June 2020 as the control group,who were given routine health education and psychological counseling,and 60 patients from July2020 to December 2020 as the observation group,who were given psychological intervention to enhance hope on the basis of the control group.Both groups were intervened for 4 weeks.The self-rating anxiety scale(SAS),self-rating depression scale(SDS),Herth hope scale(HHI),Fugl-Meyer limb score,neurological deficit degree score,and quality of life scale(SF-36)were used to evaluate the negative emotion,hope level,limb motor function,neurological function,and quality of life of two groups before and after the intervention,and comparative analysis was made.Results:After intervention,the scores of SAS and SDS in the observation group were significantly lower than those in the control group(t=-3.065,-2.843;P<0.01).After intervention,HHI in the observation group was significantly higher than that in the control group in maintaining close relationship with others,taking positive behaviors,and positive attitudes towards reality and future(t=5.776,4.504,7.332,10.337;P<0.001);After intervention,the FuglMeyer limb score of the observation group was significantly higher than that of the control group(t=3.420,P<0.01),and the neurological deficit degree score was significantly lower than that of the control group(t=-2.699,P<0.01);After intervention,the scores of social function,emotional function,physiological function,physical pain,vitality,mental health,physiological function,and overall health in the observation group were significantly higher than those in the control group(t=5.342,6.962,5.916,7.298,5.536,5.836,5.258,8.859,P<0.001).Conclusion:Psychological intervention to enhance hope can effectively relieve negative emotions such as anxiety and depression of stroke patients,enhance their hope level,improve their limb and nerve functions,and then improve their quality of life.
作者
王建玲
苏琳琳
黄贞
高曼
WANG Jianling;SU Linlin;HUANG Zhen(Nursing Department,The First Affiliated Hospital of Xinxiang Medical College,Xinxiang 453100,China)
出处
《中国健康心理学杂志》
北大核心
2022年第5期655-660,共6页
China Journal of Health Psychology
基金
2017年度河南省医学科技攻关计划项目(编号:201702127)。
关键词
提升希望感
心理干预
脑卒中
希望水平
功能恢复
Enhance hope
Psychological intervention
Stroke
Hope level
Function recovery
