强化心理干预在中青年基底节出血患者中的应用

李新君; 李苗苗; 韦娟; 石碑田; 姚国权; 侯仕强; 林宁; 张岚岚

doi:10.16766/j.cnki.issn.1674-4152.002570

强化心理干预在中青年基底节出血患者中的应用

doi: 10.16766/j.cnki.issn.1674-4152.002570

1.
安徽医科大学附属滁州医院滁州市第一人民医院神经外科，安徽滁州 239000
2.
安徽医科大学附属滁州医院滁州市第一人民医院科教科

基金项目:

安徽省重点研究与开发计划项目 201904a07020005

详细信息

通讯作者:
张岚岚, E-mail: 2086355573@qq.com

中图分类号: R743.34 R493
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- 文章访问数: 318
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- PDF下载量: 3
- 被引次数: 0
出版历程
- 收稿日期: 2021-10-23
- 网络出版日期: 2022-09-23

Application of intensified psychological intervention in young and middle-aged patients with haemorrhagic stroke

1.
Department of Neurosurgery, Affiliated Chuzhou Hospital of Anhui Medical University, the First People's Hospital of Chuzhou, Chuzhou, Anhui 239001, China

摘要

摘要: 目的探讨强化心理干预措施在中青年基底节出血患者保守治疗中的临床应用价值。方法选取2016年12月—2021年4月在滁州市第一人民医院行保守治疗的86例中青年基底节出血患者为研究对象，采用随机数字表法将研究对象分为观察组和对照组，其中观察组共40例，予以强化心理干预；对照组共46例，予以神经外科常规护理。比较分析2组患者住院期间护理满意度和发病8周后的抑郁、焦虑以及日常生活能力评分情况。结果观察组和对照组的护理满意度分别为97.50%和93.48%，差异无统计学意义(P=0.620)；8周后观察组抑郁评分为(48.28±4.26)分，明显低于对照组的(51.00±6.71)分，差异有统计学意义(P=0.030)；8周后观察组焦虑评分为(40.73±4.87)分，明显低于对照组的(43.48±7.15)分，差异有统计学意义(P=0.043)；而8周后观察组患者日常生活能力评分为(86.75±11.47)分，明显高于对照组的(79.35±12.18)分，差异有统计学意义(P=0.005)。结论强化心理干预不仅可以有效改善中青年基底节出血患者的抑郁和焦虑情况，还能促进患者肢体功能恢复，有利于全面康复，具有一定的临床推广价值。
- 心理护理 /
- 中青年 /
- 基底节出血 /
- 抑郁 /
- 焦虑
Abstract: Objective To explore the clinical application value of intensified psychological interventions in the conservative treatment of young and middle-aged patients with basal ganglia haemorrhage. Methods A total of 86 young and middle-aged patients with basal ganglia haemorrhage who underwent conservative treatment at the First People's Hospital of Chuzhou from December 2016 to April 2021 were selected as the research objects. The observation group and control group were divided via random number table. Forty patients in the observation group accepted intensified psychological intervention and 46 patients in the control group accepted normal neurosurgery nursing. The nursing satisfaction during hospitalisation and the scores of depression, anxiety and ability of daily living after 8 weeks between the two groups were compared and analysed. Results The nursing satisfaction of the observation group and the control group were 97.50% and 93.48%, respectively, during hospitalisation, with no significant difference (P=0.620). Eight weeks later, the observation group's depression score was (48.28±4.26) points, significantly lower than that of the control group [(51.00±6.71) points], and the difference was statistically significant (P=0.030). Meanwhile, the observation group's anxiety score was (40.73±4.87) points, significantly lower than that of the control group [(43.48±7.15) points], and the difference was statistically significant (P=0.043). The observation group's score for ability of daily living was (86.75±11.47) points, significantly higher than that of the control group [(79.35±12.18) points], and the difference was statistically significant (P=0.005). Conclusion Intensified psychological intervention could not only effectively improve the depression and anxiety of young and middle-aged patients with basal ganglia haemorrhage but also enhance the function recovery. It is conducive to comprehensive rehabilitation and has certain clinical popularisation value.
- Psychological nursing /
- Young and middle-aged /
- Basal ganglia haemorrhage /
- Depression /
- Anxiety

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表 1 2组中青年基底节出血患者临床资料比较

Table 1. Comparison of clinical data between two groups of young and middle-aged patients with basal ganglia hemorrhage

组别	例数	性别(例)		年龄 (x±s, 岁)	出血位置(例)		出血量 (x±s, mL)	是否破入脑室(例)		护理时间 (x±s, d)
组别	例数	男性	女性	年龄 (x±s, 岁)	左	右	出血量 (x±s, mL)	是	否	护理时间 (x±s, d)
观察组	40	25	15	50.10±5.55	19	21	20.75±6.16	36	4	30.33±12.92
对照组	46	23	23	50.43±7.71	26	20	21.41±6.89	37	9	27.76±26.13
统计量		1.356^a		0.228^b	0.698^a		0.468^b	1.526^a		0.563^b
P值		0.244		0.820	0.403		0.641	0.217		0.575
注：^a为χ²值，^b为t值。

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表 2 2组中青年基底节出血患者护理满意度比较

Table 2. Comparison of nursing satisfaction between two groups of young and middle-aged patients with basal ganglia hemorrhage

组别	例数	不满意(例)	满意(例)	很满意(例)	满意度(%)
观察组	40	1	11	28	97.50(39/40)
对照组	46	3	20	23	93.48(43/46)
注：2组满意度比较，采用Fisher精确检验，P=0.620。

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表 3 2组中青年基底节出血患者SDS和SAS评分比较(x ±s, 分)

Table 3. Comparison of SDS and SAS scores between two groups of young and middle-aged patients with basal ganglia hemorrhage

组别	例数	SDS评分		SAS评分
组别	例数	入院时	8周后	入院时	8周后
观察组	40	55.95±6.86	48.28±4.26^a	51.35±6.96	40.73±4.87^a
对照组	46	56.37±8.67	51.00±6.71^a	51.07±8.72	43.48±7.15^a
t值		0.246	2.209	0.166	2.055
P值		0.806	0.030	0.869	0.043
注：与同组入院时比较，^aP < 0.05。

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表 4 2组中青年基底节出血患者BI评分比较(x ±s, 分)

Table 4. Comparison of BI scores between two groups of young and middle-aged patients with basal ganglia hemorrhage

组别	例数	入院时	8周后
观察组	40	41.41±10.99	86.75±11.47
对照组	46	41.13±13.72	79.35±12.18
t值		1.017	2.888
P值		0.312	0.005

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