摘要
目的探讨脑卒中患者早期心理干预对负性情绪和睡眠障碍的影响。方法选取首次发病的脑卒中患者150例,随机分为对照组和观察组,各75例。对照组实施常规护理,观察组在对照组基础上实施心理障碍干预管理。评估2组患者焦虑、抑郁水平和睡眠障碍改善情况,并对比2组干预前后神经功能缺损程度(NDS)和日常生活能力量表(ADL)评分。结果管理后,2组焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数量表(PSQI)、NDS和ADL评分均显著低于管理前(P<0.01),且观察组SAS、SDS、PSQI评分改善显著优于对照组(P<0.01),干预后2组NDS和ADL评分比较,差异无统计学意义(P>0.05)。结论早期实施心理障碍干预管理能够有效改善脑卒中患者焦虑和抑郁情绪,提高睡眠质量。
Objective To investigate the effect of early psychological interventions on nega- tive emotion and sleeping disorder of stroke patients. Methods A total of 150 stroke patients were randomly divided into the control group and observation group, with 75 cases in each group. Both two groups received conventional nursing care and the observation group was given early psychological in- terventions additionally. The anxiety and depression level, sleeping quality, neurological function de- fect scale （NDS） and activity of daily living （ADL） were compared between two groups. Results Score of self-rating anxiety scale （SAS）, self-rating depression scale （SDS）, Pittsburgh sleep quality index（PSQI） were decreased in both of two groups after intervention （P 〈 0.01 ）, and were lower in the observation group than those of controls （P 〈 0.01 ）. There was no significant difference in NDS and ADL between two groups after intervention （P 〉 0.05 ）. Conclusion Application of early psy- chological interventions is potentially effective to relieve the negative emotion and improve the sleeping quality of stroke patients.
出处
《中西医结合护理（中英文）》
2016年第8期84-86,共3页
Journal of Clinical Nursing in Practice
关键词
脑卒中
心理障碍
神经功能缺损
睡眠障碍
stroke
psychological intervention
neurological function defect
sleep disorder
