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脑卒中失语症患者常见的心理特点及护理干预

Normal psychological characteristics and nursing intervention of stroke patients with aphasia
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摘要 目的探讨脑卒中失语病人的心理特点,采取适当的护理干预措施,观察对脑卒中失语患者康复疗效的改善。方法选取52例脑卒中后造成失语症的患者,随机分为干预组和对照组。对照组给予常规康复训练,干预组在常规训练的基础上给予个性化沟通、音乐治疗、强化支持系统等护理干预措施。疗程为2个月,在治疗前后分别用Zung氏抑郁自评量表、波士顿BDAE失语症诊断量表、Barthel指数、MMSE量表评估两组患者的抑郁程度、语言功能、日常生活活动能力及认知功能。结果干预组与对照组相比,除日常生活活动能力组间比较P〉0.05,其余3组均p〈0.05。结论通过有效的护理干预措施可以有效减轻脑卒中失语症患者的卒中后抑郁,改善其语言功能和认知功能。 Objective To investigate the psychological characteristics of stroke patients with aphasia, give them some nersing interventions, and observe the effects on them. Methods 52 patients with aphasia caused by stroke were randomly divided into two groups; intervention group and control group. Patients in control group were given routine rehabilitation training, while those in intervention group were given personal communication, music therapy, strengthen support systems, nursing interventions in addition to routine rehabilitation training. Zung Self-Rating Depression Scale, Boston Diagnostic Aphasia Examination ( BDAE ), Barthel Index( BI ), The mini-mental state examination ( MMSE ) were measured before and after 2 months. Results Between the two groups, the BI showed no significant difference ( P〉 0.05 ),all the other index was significantly improved ( P 〈 0.05 ). Conclusion The effective nursing interventions can effectively reduce depression and improve their language and cognitive functions in patients with aphasia after stroke.
出处 《国际医药卫生导报》 2011年第15期1892-1894,共3页 International Medicine and Health Guidance News
关键词 脑卒中 失语症 心理特点 护理干预 Stroke Aphasia Psychological characteristics Nursing intervention
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