心理支持护理对脑卒中患者负面情绪和日常生活能力的影响曾文莉乐磊汪臻华吴小英付敏(四川省医学科学院四川省人民医院城东病区急诊科，四川成都610101)摘要目的探讨心理支持护理对缺血性脑卒中患者负面情绪和日常生活能力的影响。方法105例首次发病的急性缺血性脑卒中患者,随机分为试验组(心理支持护理组)55例和对照组(常规护理组)50例。两组患者均给予常规药物治疗及护理，试验组在上述治疗护理基础上,给予早期心理支持护理。两组患者于心理支持护理前（干预前）与护理后4周（干预后），采用汉密尔顿抑郁量表(HAMD)进行心理状况评分，采用Barthel指数进行基本日常生活能力评价。结果干预前两组患者HAMD评分比较无差异（P>0.05），对照组有17例HAMD评分达17分，占34.0%，试验组有19例HAMD评分达17分，占34.6%。干预后两组患者HAMD评分均下降（P<0.01），但试验组下降更明显；干预后对照组仍有5例HAMD评分达17分，占10%，试验组无一例HAMD评分达17分；干预后试验组HAMD评分明显低于对照组（P<0.01）。干预前两组患者Barthel指数比较无差异（P>0.05）,两组患者均无1例达60分。干预后两组患者Barthel指数均明显高于干预前（p<0.01）,但试验组Barthel指数上升更明显；干预后试验组达60分者34例，占61.82%，对照组达60分者11例，占22.00%；干预后试验组Barthel指数明显高于对照组（P<0.01）。结论：早期积极的心理支持护理可纠正脑卒中患者的负面情绪，并促进其肢体功能的恢复，值得临床推广应用。关键词脑卒中护理心理支持康复EffectofPsychologicalSupportiveNursingontheNegativeEmotionsandActivitiesofDailyLivingofPatientsSufferingfromCerebralApoplexyZengWen-li，Le-Lei，Wang-Zhen-hua，etc(SichuanAcademyofMedicalScience;EmergencyDept.,EasternUrbanInpatientAreaofSichuanProvincialPeople'sHospital;Chengdu,Sichuan,610101)AbstractObjective:Toexploretheeffectofpsychologicalsupportivenursingonthenegativeemotionsandactivitiesofdailylivingofpatientssufferingfromcerebralapoplexy.Method:105casesofpatientssufferingfromacuteischemiccerebralapoplexyattackforthefirsttimewererandomlydividedintoexperimental作者简介：曾文莉（1969-），女，主管护师，护士长，从事临床护理和护理管理工作Email：1054415408@qq.comgroup(psychologicalsupportivenursinggroup,55cases)andcontrolgroup(conventionalnursinggroup,50cases).Conventionalmedicationsandnursingwereprovidedforbothgroupsofpatients;inexperimentalgroup,onthebasisofaforementionedtreatmentandnursing,prophasepsychologicalsupportivenursingwasgivenaswell.Fourweeksbeforeandafterpsychologicalsupportivenursing(intervention),thepsychologicalconditionsofpatientsinbothgroupswereratedbymeansofHamiltonDepressionScale(HAMD),andtheirbasicactivitiesofdailylivingwereevaluatedbymeansofBarthelIndex.Result:Beforeintervention,therewasnodifferenceinHAMDgradebetweentwogroupsofpatients(P＞0.05):incontrolgroup,therewere17caseswithHAMDgradehavingreached17scores,accountingfor34%;inexperimentalgroup,therewere19caseswithHAMDgradehavingreached17scores,accountingfor34.6%.Afterintervention,theHAMDgradeofpatientsinbothgroupshadreduced(P＜0.01),however,thedegreeofreductioninexperimentalgroupwasmoresignificant;therewerestill5caseswithHAMDgradehavingreached17scoresincontrolgroupafterintervention,accountingfor10%,whiletherewasnocasewithHAMDgradehavingreached17scoresinexperimentalgroup;HAMDgradeinexperimentalgroupwassignificantlylowerthanthatincontrolgroupafterintervention(P＜0.01).Beforeintervention,therewasnodifferenceinBarthelIndexbetweentwogroupsofpatients(P＞0.05),andtherewasnocaseinbothgroupsreaching60scores.Afterintervention,BarthelIndexinbothgroupsofpatientshadsignificantlyrised(P＜0.01),however,thede...
