提高青年脑卒中后偏瘫患者自尊水平的护理干预

目的：制定一套临床有效的护理干预模式,以提高青年脑卒中后偏瘫患者自尊水平。方法：40例青年脑卒中后偏瘫患者随机分为观察组和对照组各20例,均给予常规治疗和护理,观察组并配合自尊干预训练,内容包括认知干预、行为干预及社会支持系统干预等。参照自尊量表36个项目对2组患者干预前后自尊水平进行评分。结果：干预治疗2个月后,观察组自尊水平评分与干预前及对照组比较均有显著提高;不同性别、文化程度在自尊项目上差异有显著性意义。结论：有效可行的护理干预模式能显著改善青年脑卒中后偏瘫患者的心理素质,提高自尊水平和治疗的依从性。

The Nursing Intervention for Improving self-esteem Level of Young Hemipilgic Patients after Stroke

Objective： To make a clinical practicable and effective method which can improve self-esteem level of young stroke patients with hemiplegia. Methods： Forty young hemiplegic patients after stroke were randomly divided into study group and control group （n=20 each）. Both groups were subjected to the routine treatment and nursing. The patients in study group were subjected to two-month self-esteem level intervention practice, additionally. Both groups were scored by the self-esteem scale （36 programs）. Results： After nursing intervention for 2 months, the scores of self-esteem in study group were obviously increased as compared with those before intervention and in control group. The selfesteem programs were related to sex and educational levels. Conclution： Effective nursing intervention can obviously improve mental quality and self-esteem level of young hemiplegic patients after stroke.