【摘要】 目的探讨多学科团队协作的延续性干预对急性脑卒中患者焦虑抑郁情绪及康复的影响。方法回顾性纳入河南大学第一附属医院2016-01—2019-12收治的急性脑梗死患者96例。根据护理干预方式的不同分为常规护理组和多学科团队协作延续性干预组(干预组)。比较2组患者干预前后焦虑、抑郁和预后情况,比较2组患者干预3个月后并发症发生情况。结果干预前常规护理组和多学科团队协作延续性干预组患者焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分比较无显著差异(P>0.05)。干预后常规护理组和干预组SAS评分和SDS评分均较干预前明显降低,差异有统计学意义(P<0.001);干预后干预组SAS评分(40.7±3.8 vs 48.6±4.7)和SDS评分(42.3±5.3 vs 52.4±6.3)明显低于常规护理组,差异有统计学意义(P<0.05)。干预前常规护理组和干预组患者日常生活活动能力评估量表(ADL)评分和美国国立卫生研究院卒中量表(NIHSS)评分比较无显著差异(P>0.05)。干预后常规护理组和干预组患者ADL评分明显增加,NIHSS评分明显降低,与干预前比较差异有统计学意义(P<0.001)。与常规护理组干预后比较,干预组干预后ADL评分明显升高(89.6±5.7 vs 79.8±5.6),NIHSS评分明显降低(15.1±2.3 vs 19.7±2.4),差异均有统计学意义(P<0.05)。干预3个月干预组发症发生率明显低于常规护理组(3.92%vs 17.78%),差异有统计学意义(χ2=4.919,P=0.027)。结论对脑卒中患者实施多学科团队协作延续性干预,可有效改善患者的焦虑、抑郁情绪,提高其生存质量,改善神经功能,增强自理能力,减少并发症发生,全面改善患者预后。更多还原

【Abstract】 ObjectiveTo explore the effect of continuous intervention of multidisciplinary team cooperation on anxiety and depression and rehabilitation of patients with acute stroke.MethodsTotally 96 patients with acute cerebral infarction treated in our hospital from Jan. 2016 to Dec. 2019 were retrospectively included. According to different nursing intervention methods,they were divided into routine nursing group and multi-disciplinary team cooperation continuous intervention group. The anxiety,depression and prognosis were compared between the two groups before and after intervention. Complications were compared between the two groups after intervention for 3 months.ResultsBefore the intervention,there was no significant difference in SAS score and SDS score between routine nursing group and multi-disciplinary team cooperation continuous intervention group(P>0.05). After intervention,SAS score and SDS score of routine nursing group and multidisciplinary team cooperation continuous intervention group were significantly lower than those before intervention(P<0.05),while SAS score(40.7±3.8 vs 48.6±4.7)and SDS score(42.3±5.3 vs 52.4±6.3)of multidisciplinary team cooperation continuous intervention group were significantly lower than those of routine nursing group after intervention(P<0.05). Before intervention,there was no significant difference in ADL score and NIHSS score between routine nursing group and multidisciplinary team cooperation continuous intervention group(P>0.05). After intervention,the ADL scoreof patients in routine nursing group and multi-disciplinary team cooperation continuous intervention group was increased significantly,while NIHSS scores was decreased significantly,with significant difference compared with those before intervention(P<0.05). Compared with the routine nursing group,the ADL score(89.6±5.7 vs 79.8±5.6)was significantly higher and and NIHSS score(15.1±2.3 vs 19.7±2.4)was significantly lower in the multidisciplinary team cooperation continuous intervention group(P<0.05). After 3 months.intervention,the incidence of disease in multidisciplinary team cooperation and continuity intervention group was significantly lower than that in routine nursing group(3.92% vs 17.78%),and the difference was statistically significant(χ2=4.919,P=0.027).ConclusionMulti-disciplinary teamwork continuous intervention for acute stroke patients can effectively improve patients.anxiety and depression,improve patients.quality of life,improve patients.neurological function,enhance patients.self-care ability,reduce complications and comprehensively improve patients.prognosis.更多还原