摘要
目的:探讨Roy适应模式对不同时期脑卒中后抑郁(post-stroke depression,PSD)患者情绪管理的作用。方法:选取2017年10月-2018年10月就诊于江苏大学附属昆山医院神经内科的脑卒中后抑郁患者60例,按随机数字表法随机分为试验组和对照组,每组30例。试验组接受Roy适应模式的护理干预,对照组接受常规护理,入院时、出院时、出院后6个月运用抑郁他评量表、情绪管理能力量表对患者进行情绪管理效果分析。结果:入院时两组HAMD得分比较差异无统计学意义(P>0.05),出院时及出院后6个月两组得分均低于入院时,且试验组低于对照组,差异均有统计学意义(P<0.05)。入院时两组MSCEIT得分比较差异无统计学意义(P>0.05),出院时及出院后6个月两组得分均高于入院时,且试验组高于对照组,差异均有统计学意义(P<0.05)。结论:Roy适应模式能较好地帮助脑卒中后抑郁患者做好不同时期的自我情绪管理。
Objective: To investigate the role of Roy adaptation model in emotional management of patients with post-stroke depression in different periods. Method: From October 2017 to October 2018, 60 patients with post-stroke depression were enrolled in the Department of Neurology, Kunshan Hospital affiliated to Jiangsu University. They were randomly divided into the experimental group and the control group, 30 cases in each group. The experimental group received the nursing intervention of the Roy adaptation model, the control group received routine nursing care. At admission, at discharge, 6 months after discharge, the emotional management effect of the patients was analyzed by using depression rating scale and emotion management ability scale. Result: There was no significant difference in HAMD scores between the two groups at admission(P>0.05). But the scores at discharge and 6 months after discharge were lower than those at admission, and the scores in the experimental group were lower than those in the control group(P<0.05). There was no significant difference in MSCEIT scores between the two groups at admission(P>0.05). But the scores at discharge and 6 months after discharge were higher in the two groups than at admission, and the scores in the experimental group were higher than those in the control group(P<0.05). Conclusion: The Roy adaptation model can better help Post-stroke patients to manage their emotions in different periods.
作者
吴丽雅
马芳勤
WU Liya;MA Fangqin(Kunshan Hospital Affiliated to Jiangsu University,Kunshan 215300,China)
出处
《中外医学研究》
2019年第31期174-176,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
ROY适应模式
脑卒中后抑郁
情绪管理
纵向研究
Roy adaptation model
Post-stroke depression
Emotional management
Longitudinal study