论文部分内容阅读
目的探讨综合心理干预对脑梗死患者生命质量及心理状况的影响。方法选取2013年1月至2015年1月辽宁省辽阳第四人民医院收治的98例脑梗死患者作为研究对象,按随机数字表法将其分为观察组和对照组,每组49例。对照组患者给予常规护理,观察组患者在对照组基础上实施综合心理干预,比较两组患者生命质量及心理状况。结果干预3个月后,观察组患者的精神病性、人际关系、强迫症状、躯体化、偏执、恐怖、敌对、焦虑及抑郁评分均明显低于对照组,差异均有统计学意义(均P<0.05);干预1、3个月后,观察组患者的汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分均明显低于对照组,差异均有统计学意义(均P<0.05)。结论对脑梗死患者实施综合心理干预,有效改善患者焦虑抑郁状态,提高生命质量。
Objective To explore the effect of comprehensive psychological intervention on the quality of life and psychological status of patients with cerebral infarction. Methods A total of 98 patients with cerebral infarction who were admitted to the Fourth People’s Hospital of Liaoyang, Liaoning Province from January 2013 to January 2015 were selected and divided into observation group and control group according to random number table method, with 49 cases in each group. Patients in the control group were given routine nursing care. Patients in the observation group were given comprehensive psychological intervention on the basis of the control group, and the quality of life and psychological status were compared between the two groups. Results After three months of intervention, the scores of psychosis, interpersonal relationship, obsessive compulsive disorder, somatization, paranoid, terror, hostility, anxiety and depression in the observation group were significantly lower than those in the control group (all P < 0.05). HAMD and HAMA scores in observation group were significantly lower than those in control group after 1,3 months intervention (both P <0.05) . Conclusions Comprehensive psychological intervention in patients with cerebral infarction can effectively improve the anxiety and depression status and improve the quality of life.