【摘要】 目的:探讨知识-社会-心理照护支持模式对脑卒中患者心理状态及生活质量的影响。方法:选取2017年2月-2018年3月在佛山市第三人民医院联合佛山市第一人民医院神经内科住院的急性脑卒中患者120例作为研究对象,按照随机数字表法将其分为干预组与对照组,各60例。对照组进行常规护理,干预组根据急性脑卒中患者的心理弹性水平进行针对性教育、康复训练、心理疏导干预,比较两组入院及出院时的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、脑卒中影响量表(SIS)、心理弹性量表(CD-RISC)评分。结果:入院时,两组HAMD、HAMA评分比较,差异均无统计学意义(t=0.218、1.359,P=0.828、0.177);出院时,干预组HAMD、HAMA评分均明显低于对照组,差异均有统计学意义(t=6.489、14.075,P=0.000、0.000)。入院时,两组SIS、CD-RISC评分比较,差异均无统计学意义(P>0.05);出院时,两组SIS、CD-RISC评分与入院时比较均明显升高,且干预组明显高于对照组,差异均有统计学意义(P<0.05)。结论:临床为脑卒中患者提供知识-社会-心理照护支持模式干预,可有效改善患者焦虑、抑郁情绪,提高生存质量,提高患者心理弹性。更多还原

【Abstract】 Objective:To study the influence of knowledge-social-psychological care support model on mental state and quality of life of stroke patients.Method:A total of 120 patients with acute stroke hospitalized in the Department of Neurology of the Third People’s Hospital of Foshan City and the First People’s Hospital of Foshan City from February 2017 to March 2018 were selected as the research objects.According to the random number table method,they were divided into intervention group and control group,60 cases in each group.The control group was received routine nursing,the intervention group was received targeted education,rehabilitation training and psychological counseling according to the level of resilience of patients with acute stroke.The scores of Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),stroke impact scale(SIS) and mental resilience scale(CD-RISC) between the two groups were compared.Result:There were no significant differences in HAMD and HAMA scores between the two groups at admission(t=0.218,1.359;P=0.828,0.177);at discharge,the HAMD and HAMA scores of the intervention group were significantly lower than those of the control group,the differences were statistically significant(t=6.489,14.075;P=0.000,0.000).There were no significant differences in SIS and CD-RISC scores between the two groups at admission(P>0.05);at discharge,the SIS and CD-RISC scores of the two groups were significantly higher than those at admission,and the intervention group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The knowledge-social-psychological care support model intervention for stroke patients can effectively improve the anxiety and depression,improve the quality of life and improve the mental resilience of stroke patients.更多还原