强化心理干预在中青年基底节出血患者中的应用

  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。 

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

  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.