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中西医结合护理 ›› 2022, Vol. 8 ›› Issue (10): 12-16.DOI: 10.55111/j.issn2709-1961.202208015

• 中西医结合康复护理专栏 • 上一篇    下一篇

心理护理在老年脑卒中患者康复中的应用

耿庆文1, 姚梦2   

  1. 1. 北京中医药大学东直门医院, 北京, 100700;
    2. 北京中医药大学坪山国医堂中医门诊部 小儿推拿科, 深圳, 518118
  • 出版日期:2022-10-31 发布日期:2022-11-16
  • 通讯作者: 姚梦,E-mail:312207509@qq.com
  • 作者简介:耿庆文,副主任护师,任北京中医药大学东直门医院脑病科护士长16年,任护理部督导主任,安全应急办主任。中华中医药学会内科分会委员常务秘书组成员,中国中医药研究促进会南丁格尔分会常务委员,中国中医药信息学会护理分会常务委员,国家中医药管理局中医师资格认证中心命题专家。深圳市引进高层次中医药医学团队核心组成员。主要从事脑病临床护理研究,主持参与10余项国家级、省部级、市级、校级科研课题,发表学术论文40余篇,参编著作5部,教材3部。

Effect of psychological nursing interventions on rehabilitation of elderly patients with stroke

GENG Qingwen1, YAO Meng2   

  1. 1. Dongzhimen Hospital Beijing University of Chinese Medicine, Beijing, 100700;
    2. Department of Pediatric Massage, Outpatients Clinics of Pingshan Traditional Chinese medicine halls of Beijing University of Chinese Medicine, Shenzhen, 518118
  • Online:2022-10-31 Published:2022-11-16

摘要: 目的  探讨心理护理促进老年脑卒中患者康复中的效果。 方法 选取2020年1月—6月收治的老年脑卒中患者90为研究对象,采用随机数字法分为观察组和对照组,各45例。根据患者病情,对照组采用常规康复护理,观察组对照组基础上给予心理护理干预。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估患者情绪变化;采用Bathel指数评估患者日常生活活动能力;采用纽卡斯尔护理服务满意度量表(NSNS)评价患者满意度。 结果   干预后, 两组患者SAS、SDS评分均较干预前降低,且观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.01)。干预后,两组Bathel指数评分较干预前升高,且观察组Bathel指数评分高于对照组,差异有统计学意义(P<0.01)。观察组护理满意度对照组(P<0.01)。结论  在常规治疗和护理的基础上,实施针对性心理护理干预,能有效改善老年脑卒中患者负性情绪和日常生活活动能力,对促进康复具有积极意义。

关键词: 老年人, 脑卒中, 心理护理, 康复, 焦虑, 抑郁, 日常生活活动能力

Abstract: Objective  To investigate the effect of psychological nursing interventions on rehabilitation of elderly patients with stroke. Methods  Totally 90 elderly patients with stroke were randomly divided into the observation group and control group, with 45 cases in each group. All patients received routine treatment and care for stroke rehabilitation, and those in the observation group were given psychological nursing interventions. The Self-rating Anxiety Scale (SAS)and Self-rating Depression Scale (SDS) were used to assess the emotion state. Bathel index was used to evaluate the patients’ activity of daily. A questionnaire-based survey using Newcastle Satisfaction with Nursing Scales (NSNS)was conducted to measure patients’ satisfaction. Results  SAS and SDS scores decreased in both observation group and control group after intervention, and SAS and SDS scores were lower in the observation group than those in the control group(P<0.01). The Bathel index increased in both observation group and control group after intervention, and Bathel index was higher in the observation group than that in the control group(P<0.01). Higher degree of satisfaction was measured in the observation group that in the control group (P<0.01). Conclusion  In addition to comprehensive treatment and nursing, targeted psychological nursing interventions are potentially effective to relieve the negative emotion and improve the activity of daily living in patients with stroke.

Key words: elderly, stroke, psychological nursing intervention, rehabilitation, anxiety, depression, activity of daily living 

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