摘要
目的：探讨整合式心理干预对中青年脑梗死患者生活质量的影响。方法：选择2012年7月～2013年11月在我院神经内科住院的中青年脑梗死患者80例，随机等分为试验组和对照组。两组患者均接受脑梗死常规治疗及护理，试验组在此基础上给予整合式心理干预。采用神经功能损失量表（NIHSS），症状自评量表（SCL －90）和健康测量量表（SF －36）评分，比较两组患者在治疗前和治疗4周后神经功能恢复、自觉症状和生活质量的差异。结果：两组治疗后的 NIHSS 评分无显著差异（P 〉0．05）；试验组治疗后的 SCL －90总分及人际关系敏感、抑郁、焦虑、恐怖、精神病性、敌对、偏执、其他因子均明显降低（P 〈0．05），躯体化、强迫症状因子无明显差异（P 〉0．05）；试验组治疗后的 SF －36总分及总体健康、生理角色功能、情感角色功能、社会功能、活力、精神健康、健康变化等因子评分均明显增高（P 〈0．05），躯体功能、疼痛指标无明显差异（P 〉0．05）。结论：整合式心理干预能明显改善中青年脑梗死患者的心理状态和生活质量。
Objective：Discussion the integrated effect of psychological intervention on quality of life young patients with cerebral infarction. Methods：80 young patients with cerebral infarction from July 2012 to October 2013 in neurology were randomly selected. The patients were divided into experimental group and control group. The patients in two groups were received conventional therapy of cerebral infarction nursing. Study group for integration on the basis this psychological intervention. NIHSS,SCL - 90 and SF - 36 ratings were used,we compared two groups of patients before treatment and trentment of neuro-logical recovery after 4 weeks,differencse in subjective symptom and quality of life. Results：After two sets of therapy no significant difference of NIHSS rat-ings（P 〉 0. 05）was found. Experimental group SCL - 90 out of after treatment and interpersonal sensitiviy,depression,anxiety,terror,psychotic,hostility, paranoia and other factors were significantly decreaced（P 〈 0. 05）. Somatization and strong symptoms factors were found no signifitcant differences（P 〉 0. 05）. The experimental group SF - 36 out of after treatment and overall health,physiological roles,emotional role features,social function,vitality,mental health and health factor scores were significantly higher than the control group（P 〈 0. 05）,there was no significant differences in body features and indica-tors of pain（P 〉 0. 05）. Conclusion：Integrated psychological intervention can significantly improve mental status and life quality of young patients with cere-bral infarction.
出处
《护理实践与研究》
2015年第4期4-6,共3页
Nursing Practice and Research
基金
深圳市宝安区科技局社会公益课题(2012157)
关键词
整合式心理干预
中青年
脑梗死
生活质量
Integrated psychological intervention
Young
Cerebral infarction
Quality of life
