关键词：脑卒中 偏瘫 心理护理
［摘要］ 目的 提高脑卒中引起的偏瘫恢复期患者的心理护理效果，最大限度地促进患者康复。方法 脑卒中偏瘫恢复期患者56例，随机分为康复组和对照组各28例。康复组实施以自我效能理论为指导的规范化康复护理方案，对照组给予传统康复护理，入选时和干预1个月、2个月后采用脑卒中后抑郁多模式方法诊断、焦虑自评量表进行评定。结果 两组脑卒中后抑郁多模式方法诊断、焦虑自评分均较前一阶段显著性降低（P<0.01）。焦虑自评分：1个月、2个月后康复组降低分均显著大于对照组（P<0.01）；脑卒中后抑郁多模式方法诊断评分：1个月后，康复组降低分显著大于对照组（P<0.05）；2个月后，康复组降低分显著大于对照组（P<0.01）。结论 脑卒中偏瘫恢复期心理护理有助于患者心理功能改善。
［关键词］ 心理护理；偏瘫；恢复期
Study on psychological nursing to patients with hemiplegia after stroke in rahabilitation period
MENG Hong-yu,GU Ling,LI Li-hua,et al.Geriatrics Hospital,Yangpu District,Shanghai 200090,China
［Abstract］ Objective To improve the effects of psychological nursing to hemiplegic patients with stroke in rehabilitation period.Methods 56 cases of hemiplegic patients with stroke in rehabilitation period were divided into experimental group and control group randomly.For the experimental group,we adopted standard rehabilitation nursing directed by “Self-Efficacy Theory”,for the control group, we adopted traditional rehabilitation nursing. Evaluations were done beginning,one and two months afterwards by Multimodel Approach to Diagnosis of Post-Stroke Depress,Self Rating Anxiety Scale.Results Two groups Multimodel Approach to Diagnosis of Post-Stroke Depress,Self Rating Anxiety Scale score were lower than former phrase significantly（P<0.01）.Self Rating Anxiety Scale:one and two months later,experimental groups decline score were higher than those in control group（P<0.01）.Multimodel Approach to Diagnosis of Post-Stroke Depress :one month later,experimental groups decline score was higher than control group（P<0.05）,two months later,experimental groups decline score was higher than control group（P<0.01）.Conclusion The standard rehabilitation nursing to hemiplegic inpatients with stroke in rehabilitation period can improve patientspsychological function.
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