脑梗死患者早期情绪干预的方法及效果评价.docVIP

脑梗死患者早期情绪干预的方法及效果评价 　　[摘要] 目的 探讨脑梗死的早期情绪干预方法，并分析其对脑梗死的临床效果。 方法 选择62例脑梗死后患者，随机分为两组，观察组使用情绪干预方法，并与单纯使用药物治疗、心理护理、辅助功能锻炼指导等的对照组比较，比较两组患者治疗前后睡眠功能的变化，并采用综合医院焦虑抑郁情绪自评量表评价两组的患者焦虑、抑郁情绪。 结果 干预后观察组存在睡眠障碍的比率显著低于对照组（P 0.05），干预后观察组焦虑评分和抑郁评分均显著低于对照组（P 0.05）。 结论 对脑梗死患者实施早期情绪干预，注重患者心理健康，改善患者肢体功能以及睡眠质量，可以有效减少患者焦虑、抑郁的发生。 　　[关键词] 早期情绪干预；脑梗死；效果评价 　　[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-4721（2013）07（a）-0125-02 　　Early emotional intervention method for patients with cerebral infarction and effect evaluation 　　HUANG Xia HUANG Fen-qing 　　Department of Neurology，the First Peoples Hospital of Tongren City in Guizhou Province，Tongren 554300，China 　　[Abstract] Objective To explore the early emotional intervention method for patients with cerebral infarction and analyze its clinical effect for cerebral infarction. Methods Sixty-two patients after cerebral infarction were selected and randomly divided into two groups.The observation group received the emotional intervention method and the control group received simple medication，psychological nursing and auxiliary functional exercise guidance.The changes of sleeping function of the two groups after the treatment were compared.And the general hospital anxiety and depression self-rating scale was used to evaluate the anxiety and depression. Results After the intervention，the observation group had significantly lower ratio of sleep disorders than the control group （P 0.05） and significantly lower anxiety score and depression score than the control group （P 0.05）. Conclusion The implementation of early emotional intervention in patients with cerebral infarction，emphasis on patients mental health and improvement of patients limb function and sleep quality can effectively reduce the occurrence of anxiety and depression 　　[Key words] Early emotional intervention；Cerebral infarction；Curative effect evaluation 　　脑梗死后抑郁患者容易出现一系列的情绪的波动，甚至出现一定的心理功能障碍，尤其是焦虑、抑郁以及易激惹等负性情绪，对于疾病的治疗以及肢体功能的恢复产生负面影响，患者出现负性情绪后将导致机体的交感神经系统兴奋[1]，导致一系列的病理生理改变，出现心肌缺血、耗氧量增多等