叙事护理对出血性脑卒中患者焦虑、抑郁状态的影响.pdfVIP

论著·护理论坛JOURNALOFCHINESEANDFOREIGNMEDICINEANDPHARMACYRESEARCH

叙事护理对出血性脑卒中患者焦虑、抑郁状态的影响

马燕慈巫秋霞

510080广东省人民医院，广东广州

摘要目的：探讨叙事护理对出血性脑卒中患者焦虑、抑郁状态的影响。方法：选取广东省人民医院2022年1月—2023年

11月收治的60例出血性脑卒中患者为研究对象，采用电脑随机法分为对照组和试验组，各30例。对照组采用常规护理，试验

组采用叙事护理。比较两组汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）、生活质量简表、匹兹堡睡眠质量指数

（PSQI）评分。结果：护理后，两组HAMA、HAMD评分均降低，试验组低于对照组（P＜0.05）；护理后，两组情感职能、生理职能、

社会功能、生理功能评分均升高，试验组高于对照组（P＜0.05）；护理后，两组PSQI评分降低，试验组低于对照组（P＜0.05）；试验组

护理总满意度高于对照组（P=0.020）。结论：叙事护理可减轻出血性脑卒中患者焦虑、抑郁状态，并改善其生活质量及睡眠质量。

关键词出血性脑卒中；叙事护理；焦虑；抑郁

中图分类号R473.5文献标识码A

EffectofNarrativeNursingonAnxietyandDepressioninHemorrhagicStrokePatients

MaYanci,WuQiuxia

GuangdongProvincialPeoplesHospital,Guangzhou510080,GuangdongProvince,China

AbstractObjective:Toexploretheeffectofnarrativenursingonanxietyanddepressioninhemorrhagicstrokepatients.

Methods:SixtypatientswithhemorrhagicstrokeadmittedtoGuangdongProvincialPeoplesHospitalfromJanuary2022to

November2023wereselectedasthestudyobjects,andweredividedintocontrolgroupandexperimentalgroupbycomputer

randommethod,withthirtycasesineachgroup.Thecontrolgroupreceivedroutinenursing,theexperimentalgroupreceived

narrativenursing.Hamiltonanxietyscale(HAMA),Hamiltondepressionscale(HAMD),briefqualityoflifescaleandPittsburgh

sleepqualityindex(PSQI)scoreswerecomparedbetweenthetwogroups.Results:Afternursing,HAMAandHAMDscoreswere

decreasedinbothgroups,andtheexperimentalgroupwaslowerthanthecontrolgroup(P0.05).Afternursing,thescoresof

emotionalfunction,physiologicalfunction,socialfunctionandphysiologicalfunctionwereincreasedin