摘要
目的分析心理护理联合感觉统合训练对脑梗死后偏瘫患者心理状况、生活能力的影响。方法选取2021年1月至2022年10月首都医科大学附属北京天坛医院收治的120例脑梗死后偏瘫患者为研究对象,根据护理方案不同将研究对象分为对照组(给予常规护理干预)和观察组(在对照组的基础上给予心理护理联合感觉统合训练),每组60例。两组患者均连续干预4周。比较分析两组患者护理干预前后的心理状况[汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、心理弹性量表(CD-RISC)评分]、神经功能[美国国立卫生院卒中量表(NIHSS)评分]和生活能力[日常生活能力量表(ADL)评分]。比较分析两组患者护理干预前后的脑血流动力学指标[大脑中动脉搏动指数(PI)、阻力指数(RI)、平均血流速度(Vm)]以及肌力分级。结果护理干预前,两组患者的HAMA评分、HAMD评分、CD-RISC评分、NIHSS评分、ADL评分、RI、PI、Vm、肌力分级比较差异均无统计学意义(P>0.05)。护理干预后,两组患者的HAMA评分、HAMD评分、NIHSS评分、RI、PI均降低,且观察组低于对照组,差异均有统计学意义(P<0.05);两组患者的CD-RISC评分、ADL评分、Vm、肌力分级均升高,且观察组高于或优于对照组,差异均有统计学意义(P<0.05)。结论心理护理联合感觉统合训练可显著改善脑梗死后偏瘫患者的焦虑、抑郁情绪,提高患者的心理弹性水平以及生活能力,促进患者受损神经功能的恢复,且可增加患者缺血部位的血流量,增强患者的肌力。
Objective To analyze the effects of psychological nursing combined with sensory integration training on mental status and living ability of patients with hemiplegia after cerebral infarction.Method A total of 120 patients with hemiplegia after cerebral infarction admitted to Beijing Tiantan Hospital,Capital Medical University from January 2021 to October 2022 were selected as the study subjects.According to different nursing programs,the study subjects were divided into control group(receiving routine nursing intervention)and observation group(receiving psychological nursing combined sensory integration training on the basis of the control group),with 60 cases in each group.Two groups were treated continuously for four weeks.The mental status[Hamilton anxiety scale(HAMA)score,Hamilton depression scale(HAMD)score,conner-davidson resilience scale(CD-RISC)score],neurological function[National Institutes of Health Stroke Scale(NIHSS)score]and living ability[activity of daily living(ADL)score]in the two groups were compared and analyzed before and after treatment.The cerebral hemodynamic indexes[pulsation index(PI),resistance index(RI),maxmium systolic blood flow velocity(Vm)]and muscle strength grade in the two groups were compared and analyzed before and after treatment.Result Before treatment,there were no statistical significance in HAMA score,HAMD score,CD-RISC score,NIHSS score,ADL score,RI,PI,Vm and muscle strength grade between the two groups(P>0.05).After treatment,HAMA score,HAMD score,NIHSS score,RI and PI in two groups were decreased,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).After treatment,The CD-RISC score,ADL score,Vm and muscle strength grade in two groups were increased,and the observation group was higher or better than the control group,and the differences were statistically significant(P<0.05).Conclusion Psychological nursing combined with sensory integration training can effectively improve the anxiety and depression of pa
作者
李云梦
田唯
方晓萌
Li Yunmeng;Tian Wei;Fang Xiaomeng(Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100010,China)
出处
《中国医刊》
CAS
2024年第4期400-404,共5页
Chinese Journal of Medicine
基金
国家重点研发计划项目(2021YFC2501100)。
关键词
心理护理
感觉统合训练
脑梗死
偏瘫
心理状况
生活能力
Psychological nursing
Sensory integration training
Cerebral infarction
Hemiplegia
Mental status
Living ability
