心理护理对急性缺血性脑卒中患者神经功能恢复影响.docVIP

心理护理对急性缺血性脑卒中患者神经功能恢复影响 　　[摘要] 目的 探讨心理护理对急性缺血性脑卒中患者神经功能恢复的影响，为今后的临床护理工作提供思路。 方法 选取2014年1～12月在我院神经科住院治疗的100例急性缺血性脑卒中患者，采用随机抽样法将其分为对照组（50例）与观察组（50例）。对照组给予常规护理，观察组在常规护理基础上开展心理护理，分别于入院时、入院1周与入院4周采用美国国立卫生研究院卒中量表（NIHSS）对两组患者的神经功能缺损情况进行评估，同时比较两组的治疗效果。 结果 入院时，两组的NIHSS评分差异无统计学意义（P0.05）；入院1周与4周后，观察组的NIHSS评分分别为（7.39±1.51）分与（3.53±1.61）分，与入院时对比明显下降，且观察组的NIHSS评分低于对照组，差异有统计学意义（P0.05）。观察组的治疗总有效率为92%，高于对照组的80%（P0.05）。 结论 心理护理可以显著改善急性缺血性脑卒中患者的神经功能，提高治疗效果，促进患者康复。 　　[关键词] 心理护理；急性缺血性脑卒中；神经功能 　　[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-4721（2016）01（c）-0164-03 　　[Abstract] Objective To explore the impact of mental nursing on nerve function recovery of patients with acute ischemic，and to provide thinking for clinical nursing work in the future. Methods 100 patients with acute ischemic stroke admitted into neurology department of our hospital from January to December in 2014 were selected.They were divided into control group （n=50） and observation group （n=50） by using random sampling method.The control group was given routine nursing，and observation group was conducted mental nursing on the basis of routine nursing.The neurologic deficits in two groups was evaluated by the National Institute of Health stroke scale （NIHSS） at admission，1 week and 4 weeks after admission，and therapy effects was compared. Results The NIHSS score had no difference between two groups at admission（P0.05）.1 week and 4 weeks after admission，the NIHSS score in observation group was respectively （7.39±1.51） and （3.53±1.61） points，which was significantly decreased compared with the time of admission， and the NIHSS score in observation group was lower than that of the control group，the difference was statistical significance（P0.05）.The total effective rate in observation group was 92%，which was higher than 80% of control group（P0.05）. Conclusion Mental nursing can obvious improve the nerve function of patients with acute ischemic stroke， and improve the treatment effect，promote the rehabilitation for patients. 　　[Ke