心理弹性支持结合时效激励干预措施对老年脑梗死后偏瘫的效果研究

目的探讨心理弹性支持结合时效激励干预措施对老年脑梗死后偏瘫的效果。方法选取2017年6月～2018年6月来我院脑科门诊就诊的60例老年脑梗死后偏瘫患者作为研究对象,随机分为观察组和对照组,各30例,对照组给予常规护理,观察组除常规护理外,同时给予心理弹性支持和时效激励干预措施,住院护理期间通过心理弹性量表、运动功能评定量表评分和康复结果观察比较两组效果。结果观察组心理弹性量表的3个指标均显著高于对照组,且明显高于护理前(P0.05);护理前,对照组和观察组患者运动功能评定量表评分无显著差异,护理后,观察组患者运动功能评定量表评分显著高于对照组患者,差异具有统计学意义(P0.05),观察组和对照组在护理前后比较,差异有统计学意义(P0.05),另外,观察组总有效率为93.33%,明显高于对照组患者(73.33%,P0.05)。结论心理弹性支持结合时效激励干预措施对老年脑梗死后偏瘫的康复效果显著,提高了患者的运动水平和康复效果,值得广泛推广应用。

Effect of psychological resilience support combined with time-dependent stimulation intervention on hemiplegia after senile cerebral infarction

Objective To explore the effect of psychological resilience support combined with time-dependent stimulation intervention on hemiplegia after senile cerebral infarction.Methods A total of 60 elderly patients with hemiplegia after senile cerebral infarction treated in the outpatient department of our hospital from June 2017 to June 2018 were randomly divided into observation group and control group,with 30 cases in each group.The control group was given routine nursing.In addition to routine nursing,meanwhile,the observation group was given psychological resilience support and time-dependent stimulation intervention.During the hospital nursing period,the effects of the two groups were compared through the psychological resilience scale,the motor function rating scale and the rehabilitation results.Results The three indexes of the psychological flexibility scale of the observation group were significantly higher than those of the control group,and were significantly higher than those of the observation group before the nursing(P<0.05).There was no significant difference in the scores of motor function assessment scales between the control group and the observation group before nursing.After the nursing,the scores of the motor function rating scale of the observation group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).The difference between the observation group and the control group before and after the nursing was also statistically significant.In addition,the total efficiency of the observation group was 93.33%,which was also significantly higher than that of the control group(73.33%,P<0.05).Conclusion Psychological resilience support combined with time-dependent stimulation intervention has significant effect on the rehabilitation of hemiplegia after senile cerebral infarction,which improves the exercise level and rehabilitation effect of patients.It is worthy of widespread application.