摘要
目的 探讨快速反应团队联合赋能心理干预对急性缺血性脑卒中(AIS)患者心理状态、神经功能的影响,以期为临床相关治疗与护理提供参考。方法 选取商丘市第一人民医院2020年1月-2021年11月收治的120例AIS患者为研究对象。将2020年1-12月入院的患者归为对照组,将2021年1-11月入院的患者归为研究组,每组60例。对照组患者采用常规急救护理联合赋能心理干预。研究组患者采用快速反应团队联合赋能心理干预。比较2组患者干预前及出院时Fugl-Meyer运动功能量表(FMA)、美国国立卫生研究院卒中量表(NIHSS)、抑郁自评量表(SDS)及焦虑自评量表(SAS)评分。比较2组患者护理满意度。结果干预前,2组患者FMA、NIHSS、SDS、SAS评分比较,差异无统计学意义(P>0.05)。出院时,2组患者FMA评分均高于干预前,且研究组高于对照组,差异均有统计学意义(P<0.05);出院时,2组患者NIHSS、SDS、SAS评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组患者总满意度为95.00%,高于对照组的81.67%,差异有统计学意义(P<0.05)。结论 快速反应团队联合赋能心理干预有助于改善AIS患者负性情绪,促进患者神经功能及运动功能的恢复,提高患者护理满意度,值得临床推广应用。
Objective To investigate the effect of psychological empowerment intervention combined with rapid response team intervention on the psychological status and neurological function in patients with Acute Ischemic Stroke(AIS),so as to provide evidence for clinical treatment and nursing.Methods A total of 120 AIS patients admitted to the First People’s Hospital of Shangqiu from January 2020 to November 2021 were selected as the study subjects.Patients admitted from January to December 2020 were assigned to the control group,and patients admitted from January to November 2021 the experimental group,with 60 cases in each group.Patients in the control group received conventional emergency nursing combined with psychological empowerment intervention.Patients in the experimental group received rapid response team intervention combined with empowerment psychological intervention.The Fugl-Meyer Assessment(FMA)scale,National Institutes of Health Stroke Scale(NIHSS),self-rating depression scale(SDS)and self-rating anxiety scale(SAS)scores were compared between the two groups before the intervention and at discharge.Satisfaction with nursing was compared between the 2 groups.Results Before the intervention,there was no significant difference in FMA,NIHSS,SDS,and SAS scores between the two groups(P>0.05).At discharge,the FMA scores of the two groups were higher than those before the intervention,and the experimental group was higher than the control group,with statistically significant differences(P<0.05).At discharge,the NIHSS,SDS,and SAS scores of the two groups were lower than those before the intervention,with the experimental group lower than the control group,and the differences were statistically significant(P<0.05).The overall satisfaction rate of patients in the experimental group was 95.00%,which was higher than that in the control group(81.67%),and the difference was statistically significant(P<0.05).Conclusion Psychological empowerment intervention in combination with rapid response team intervention is conducive to improving the negative emotions of AIS patients,promoting the recovery of neurological function and motor function,and raising patients’nursing satisfaction.These benefits justify a wider application of this procedure in clinical practice.
作者
刘茵
梅丽
Liu Yin;Mei Li(Emergency Department,the First People's Hospital of Shangqiu,Shangqiu Henan 476100,China)
出处
《保健医学研究与实践》
2022年第8期158-161,共4页
Health Medicine Research and Practice
关键词
急性缺血性脑卒中
赋能心理干预
快速反应团队
Acute ischemic stroke
Psychological empowerment intervention
Rapid response team
