中西医结合护理 (Oct 2022)

Effect of psychological nursing interventions on rehabilitation of elderly patients with stroke (心理护理在老年脑卒中患者康复中的应用)

  • GENG Qingwen (耿庆文),
  • YAO Meng (姚梦)

DOI
https://doi.org/10.55111/j.issn2709-1961.202208015
Journal volume & issue
Vol. 8, no. 10
pp. 12 – 16

Abstract

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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. (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。)

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