摘要
目的分析情志护理配合药物干预治疗急性期脑卒中效果及对患者抑郁症状、心理韧性的影响。方法选取我院收治的160例急性期脑卒中患者为研究对象,随机分为观察组和对照组,每组各80例。对照组予以阿司匹林和盐酸帕罗西汀片药物治疗,并给予常规处理,观察组在对照组的基础上予以情志护理干预,两组均干预4周。分别于干预前后采用神经功能评定量表(NHISS)评价患者神经功能缺损程度,采用生活自理能力量表(ADL)评价患者的自理能力,采用焦虑自评量表(SAS)及抑郁自评量表(SDS)对患者负性情绪予以评估,采用心理韧性量表(CD-RISC)对患者心理韧性水平予以评价。结果干预后,治疗组的NHISS、SAS及SDS评分显著低于对照组(P<0.05),CD-RISC及ADL评分显著高于对照组(P<0.05)。结论情志护理配合药物干预不仅能够明显改善急性期脑卒中神经功能缺损、患者的抑郁状态,还能显著提高患者心理韧性水平与生活自理能力,提高患者的生活质量。
Objective To investigate the effects of emotionthought nursing and drug intervention in the treatment of acute stroke and the influence on depressive symptom,mental toughness.Methods 160 cases with acute stroke were selected and randomly divided into the observation group and the control group,80 cases in each group.The control group was given aspirin and Paroxetine Hydrochloride Tablets on the basis of conventional treatment,the observation group was plus emotionthought nursing on the basis of the control group,patients were intervened for 4 weeks.Before and after the intervention,NHISS,ADL,SAS,SDS were used to evaluate the neurologic impairment degree,self-care ability,negative emotion,mental toughness of the two groups.Results After intervention,NHISS,SAS,SDS of the observation group were significantly lower than those of the control group(P<0.05),CD-RISC,ADL scores were significantly higher than those of the control group(P<0.05).Conclusion Emotionthought nursing and drug intervention in the treatment of acute stroke can improve the neurologic impairment and depressive state,it can also significantly improve the mental toughness level,self-care ability and life quality of patients.
作者
邢玉平
Xing Yuping(Neurology Department,The Second People′s Hospital of Nanyang City,?Nanyang 473000,China)
出处
《哈尔滨医药》
2019年第1期86-88,共3页
Harbin Medical Journal
关键词
急性期脑卒中
情志护理
药物干预
抑郁症状
心理韧性
Acute stroke
Emotionthought nursing
Drug intervention
Depressive symptom
Mental toughness
