摘要
目的 评价情志护理联合优质护理在多发性脑梗死伴焦虑和抑郁患者中的应用效果。方法 选取2019年7月至2021年6月聊城市第四人民医院收治的120例多发性脑梗死伴焦虑和抑郁患者作为研究对象,按简单随机抽样法分为2组,每组60例。对照组给予优质护理,观察组给予优质护理联合情志护理。比较2组患者的心理状态、治疗依从性、血管内皮功能和脑血管储备能力。结果 与入院时相比,2组在出院时及出院后2个月的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均降低(P均<0.05),且观察组均较同期对照组更低(P均<0.05)。观察组的治疗总依从率为98.33%,明显高于对照组的83.33%(P<0.05)。出院后2个月,2组的一氧化氮(NO)水平、大脑中动脉(MCA)改变量及脑血管储备能力(CVR)均较入院时升高,内皮素(ET)水平均较入院时降低(P均<0.05);观察组的各项指标均较对照组更优(P均<0.05)。结论 情志护理联合优质护理对多发性脑梗死伴焦虑和抑郁患者心理状态的改善可起到积极作用,且有助于患者治疗依从性的提升以及血管内皮功能和脑血管储备能力的恢复。
Objective To evaluate the application effect of emotional nursing combined with highquality nursing in multiple cerebral infarction patients with anxiety and depression.Methods From July 2019 to June 2021,120 multiple cerebral infarction patients with anxiety and depression admitted to Liaocheng Fourth Peoples Hospital were included in the study.They were assigned into two groups through simple random sampling,with 60 patients in each group.The control group was given highquality nursing,and the observation group was given high-quality nursing combined with emotional nursing.The psychological state,treatment compliance,vascular endothelial function,and cerebrovascular reserve capacity of the two groups were compared.Results Compared with admission,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in both groups were decreased at discharge and 2 months after discharge(all P<0.05),and the observation group had lower scores than the control group on the corresponding period(all P<0.05).The total treatment compliance rate of the observation group was 98.33%,which was significantly higher than 83.33%of the control group(P<0.05).At 2 months after discharge,the nitric oxide(NO)level,change of middle cerebral artery(MCA),and cerebrovascular reactivity(CVR)in both groups were increased,and the endothelin(ET)level was decreased compared with those at admission(all P<0.05).The indicators of the observation group were better than those of the control group(all P<0.05).Conclusion Emotional nursing combined with high-quality nursing can improve the psychological state of multiple cerebral infarction patients with anxiety and depression,and help to improve the treatment compliance and recovery of the vascular endothelial function and cerebrovascular reserve capacity.
作者
张云
黄珂
陈芳
ZHANG Yun;HUANG Ke;CHEN Fang(Department of Neurology,Liaocheng Fourth Peoples Hospital,Liaocheng,Shandong,252000,China)
出处
《中西医结合护理（中英文）》
2022年第9期45-48,共4页
Journal of Clinical Nursing in Practice
关键词
多发性脑梗死
优质护理
情志护理
心理状态
multiple cerebral infarction
high-quality nursing
emotional nursing
psychological state
作者简介
张云(1986.11-),女,本科,主管护师,研究方向:神经内科疾病护理。
