心理护理干预对中青年缺血性脑卒中患者负性情绪及依从性影响.docVIP

心理护理干预对中青年缺血性脑卒中患者负性情绪及依从性影响 　　[摘要] 目的 分析心理?o理干预对中青年缺血性脑卒中患者负性情绪及依从性的影响。 方法 选取皖北煤电集团总医院自2016年4月～2017年4月收治的90例中青年缺血性脑卒中患者，采取随机数字表法分为对照组与观察组，每组各45例，对照组给予常规护理，观察组在对照组基础上给予心理护理干预，两组均连续护理3个月，比较两组治疗前后神经功能缺损评分（NIHSS）、日常生活能力评分（ADL）、负性情绪及依从性。 结果 护理后，两组NHISS评分与护理前比较明显降低，ADL评分明显升高，且观察组护理后的NHISS评分、ADL评分较对照组明显改善，差异有统计学意义（P 0.05）。护理后两组SAS及SDS评分与护理前比较明显降低，且观察组护理后的SAS及SDS评分明显低于对照组，差异有统计学意义（P 0.05）。对照组患者治疗后的依从率为75.56%，观察组患者治疗后的依从率为93.33%，观察组与对照组的治疗依从性比较，差异有统计学意义（P 0.05）。结论 在青年缺血性脑卒中患者的治疗过程中，在常规护理的基础上联合心理护理干预能够辅助促进患者神经功能及日常生活能力的恢复，缓解负性情绪，提高治疗依从性。 　　[关键词] 心理护理干预；中青年缺血性脑卒中；负性情绪；依从性 　　[中图分类号] R473.74 [文献标识码] A [文章编号] 1673-7210（2018）01（a）-0167-04 　　[Abstract] Objective To explore the effect of psychological nursing intervention on the negative emotional and compliance for patients with ischemic stroke. Methods From April 2016 to April 2017， 90 cases of young patients with ischemic stroke were treated in Wanbei Coal and Electricity Group General Hospital were selected and divided into the control group and the observation group according to the random number table method， 45 cases in each group. The control group was given routine nursing care， the observation group on based of the control group was given psychological nursing intervention. Both groups were continuously nursing for 3 months. The nerve function defect score （NIHSS） scores， daily life ability score （ADL） before and after treatment， and the negative emotions and compliance were compared between two groups. Results After nursing， the NHISS scores decreased significantly and the ADL scores of two groups increased significantly compared with before the nursing. The scores of NHISS and ADL in the observation group were significantly improved compared with those in the control group， the differences were statistically significant （P 　　[Key words] Psychological care intervention； Young ischemic stroke； Negative emotions； Compliance 　　脑卒中作为临床上一类发病率较高的神经系统疾病，同时具有较高的致残率，严重影响患者的生命健康[1]。中青年脑卒中是指发病年龄59岁以下，分为缺血性及出血性两类。近年来随着社会的