护理干预对急性脑梗死患者心理状态和生活质量的影响.docVIP

护理干预对急性脑梗死患者心理状态和生活质量的影响 　　[摘要] 目的 探讨护理干预对急性脑梗死患者心理状态和生活质量的影响。 方法 将100例急性脑梗死患者随机分为观察组50例和对照组50例。对照组患者给予常规护理，观察组患者在对照组的基础上加用心理干预、康复干预和家庭干预等护理干预措施，干预前，干预后1、3个月用焦虑自评量表（SAS）和抑郁自评量表（SDS）、修订后的Rankin量表（MRS）、日常生活活动量表（BI）对护理效果进行评定。 结果 干预前，两组患者的SAS、SDS、MRS、BI评分比较差异无统计学意义（P0.05）；干预后1、3个月，观察组患者的SAS、SDS、MRS、BI评分均较对照组明显改善（P0.01）。 结论 护理干预可有效改善急性脑梗死患者的焦虑和抑郁状态，提高患者的日常生活能力和生活质量。 　　[关键词] 护理干预；急性脑梗死；心理状态；生活质量 　　[中图分类号] R743.9[文献标识码] B[文章编号] 1674-4721（2014）04（c）-0119-03 　　 　　The influence of nursing intervention on mental status and quality of life in patients with acute cerebral infarction 　　HUANG Yue-hong LUO Qiu-lan LIU Guo-sheng LAI Hui-juan LIU Hong-wen 　　Department of Neurology,Ganzhou Municipal Hospital of Jiangxi Province,Ganzhou 341000,China 　　[Abstract] Objective To investigate the influence of nursing intervention on mental status and quality of life in patients with acute cerebral infarction． Methods 100 patients with cerebral infarction were randomly divided into the observation group (n=50) and the control group(n=50).Patients in the control group were given routine nursing while patients in the obbservation group were given psychological intervention and rehabilitation intervention and familly intervention on the basis of the control group.The nursing effect of the two groups was evaluated by SAS,SDS,MRS,BI before intervention and after 1 month and 3 months intervention. Results There was no statistical difference of SAS,SDS,MRS,BI score between the two groups before intervention (P0.05).The SAS,SDS,MRS,BI score in the observation group was obviously improved compared with those in the control group after 1 month and 3 month intervention（P0.01). Conclusion The nursing intervention can effectively improve the anxiety and depression status of patients with acute cerebral infarction,improve ability of daily life and the quality of life of patients. 　　[Key words] Nursing intervention;Acute cerebral infarction;Mental status;Quality of life 　　急性脑梗死具有发病率高、死亡率高、复发率高