心理护理应用于脑卒中抑郁焦虑患者临床分析.docVIP

心理护理应用于脑卒中抑郁焦虑患者临床分析 　　[摘要] 目的 探讨心理护理对脑卒中抑郁、焦虑患者的临床护理价值。方法 方便选取该院2016年1月―2017年4月期间收治的脑卒中抑郁、焦虑患者90例，随机分为观察组和对照组各45例，对照组患者给予常规护理，观察组患者在对照组基础上给予心理护理。比较两组患者干预前后的焦虑自评量表（SAS）及抑郁自评量表（SDS）在治疗中的变化，分析两组患者的心理状态；比较Barthel指数（BI）评定治疗前后的功能状况，预测治疗效果预后。结果 护理前Barthel指数、SAS和 SDS 评分比较差异无统计学意义（P0.05）；护理后，实验组患者SAS（31.04±4.99）分、SDS（31.01±5.22）分评分均较对照组SAS（43.82±5.97）分、SDS（43.97±5.62）分明显降低（P0.05）；实验组的Barthel指数（BI）（50.92±6.13）分较对照组Barthel（43.94±5.95）分评分均明显增高（P0.05）。结论 心理护理应用于脑卒中患者焦虑抑郁的临床效果确切，有助于改善患者的预后生活质量，具有临床护理价值，值得临床推广。 　　[关键词] 脑卒中；抑郁；焦虑；护理 　　[中图分类号] R725 [文献标识码] A [文章编号] 1674-0742（2018）02（c）-0165-03 　　Clinical Analysis of Psychological Nursing Applied to Patients with Stroke Depression and Anxiety 　　YUAN Ting-yan 　　Psychosomatic Department，Alear People’s Hospital， Alear，Xinjiang， 843300 China 　　[Abstract] Objective To explore the clinical nursing value of psychological nursing for patients with stroke depression and anxiety. Methods We selected 90 cases of stroke depression and anxiety patients in our hospital from January 2016 to April 2017， and conveniently divided them into observation group and control group， each of which contained 45 cases. The control group was given routine nursing while the observation group received psychological care additionally. Comparing the changes of self-rating anxiety scale （SAS） and self-rating Depression Scale （SDS） before and after the treatment and analyzing the mental state of patients in these groups； comparing Barthel index （BI） function to assess the functional condition before and after treatment， and to predict treatment effect prognosis. Results Barthel index， SAS and SDS scores had no significant difference before nursing（P0.05）； after nursing， the index of patients in the experimental group were SAS （31.04± 4.99）points and SDS（31.01±5.22）points， which were obviously lower（P0.05）than those of the observation group of SAS （43.82±5.97）points and SDS （43.97±5.62）points； Barthel index （BI） in the experiment group （50.92±6.13）points， comp