【摘要】 目的 探索全程药学服务联合心理干预对急性缺血性脑卒中患者的影响。方法 选择2020年10月～2021年10月临沂市中医医院接收并对其进行干预的急性缺血性脑卒中患者共112例，应用随机数字表法将其分为对照组与观察组。对照组56例接受常规护理，观察组56例接受全程药学服务联合心理干预。对比其抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、美国国立卫生研究院卒中量表(NIHSS)评分、总体满意率、用药的总依从性。正态计量资料使用 t 检验，计数资料使用 x~2 检验。结果 干预前，两组的NIHSS评分、SDS评分、SAS评分对比未见显著差异(P>0.05)；干预后，观察组评分均显著低于对照组(P<0.05)。观察组干预后的总体满意率、用药的总依从性相较于对照组均显著更高(P<0.05)。结论 对急性缺血性脑卒中患者应用全程药学服务联合心理干预进行干预，可有效地降低神经功能的缺损，改善患者的负性情绪，提升护理服务的总体满意率及用药的总依从性。更多还原

【Abstract】 Objective To explore the effects of whole-course pharmacy services combined with psychological interventions on patients with acute ischemic stroke.Methods A total of 112 patients with acute ischemic stroke received and intervened in Linyi Traditional Chinese Medicine Hospital from October 2020 to October 2021 were selected,and they were divided into control group and observation group by random number table method.56 cases in the control group received in routine care,56 patients in the observation group received full-course pharmaceutical care combined with psychological intervention.Compared self-rating depression scale (SDS) score,self-rating anxiety scale (SAS) score,National Institutes of Health stroke scale (NIHSS) score,overall satisfaction rate and overall medication adherence.The t test was used for normal measurement data,and the x~2 test was used for count data.Results Before the intervention,there was no significant difference in the NIHSS score,SDS score and SAS score between the two groups (P>0.05);after the intervention,the scores of the observation group were significantly lower than those of the control group (P<0.05).Compared with the control group,the overall satisfaction rate and the total compliance of medication in the observation group after intervention were significantly higher (P<0.05).Conclusion The application of full-course pharmaceutical care combined with psychological intervention to patients with acute ischemic stroke can effectively reduce neurological deficits,improve patients’ negative emotions,improve the overall satisfaction rate of nursing services and overall compliance with medication.更多还原