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早期心理干预改善脑卒中患者心理障碍的效果研究
引用本文:贺梅香,李遵清.早期心理干预改善脑卒中患者心理障碍的效果研究[J].国际护理学杂志,2011,30(9).
作者姓名:贺梅香  李遵清
作者单位:兖矿集团北宿煤矿医院济宁市精神病防治院,山东充州,272100
摘    要:目的 探讨神经内科对住院脑卒中患者实施心理干预的效果。方法 按抛硬币分组法,将80例脑卒中患者随机分为研究组43例和对照组37例,分别在干预前、干预后4w采用一般自我效能感量表(GSES)和症状自评量表(SCL-90)对两组患者进行评价。结果 干预前两组患者GSES和SCL-90评分差异无统计学意义(P>0.05),干预后研究组GSES评分明显高于对照组,SCL-90评分明显低于对照组(P<0.01)。结论 神经内科对脑卒中患者脑卒中患者实施早期心理干预,不仅能够充分调动患者自身潜能,增强患者自信心,而且能够较早地消除患者的负性情绪和心理障碍,对促进患者更好的治疗和康复具有积极的作用。

关 键 词:循证护理  脑卒中  自我效能  神经功能  心理健康

Effect of early psychological intervention on improving psychological disorder of patients with stroke
HE Mei-xiang,LI Zun-qing.Effect of early psychological intervention on improving psychological disorder of patients with stroke[J].international journal of nursing,2011,30(9).
Authors:HE Mei-xiang  LI Zun-qing
Abstract:Objective To explore the effect of psychological intervention on the hospitalized patients with stroke.Methods A total of 80 patients with stroke were randomly divided into two groups following as test group (43 eases) and control group (37 cases).The scales of GSES and SCL-90 were adopted to assess the patients at pre-intervention and post-intervention 4 weeks.Results There were no statistical differences for the score of GSES and SCL-90 which the patients got before intervention.The score of GSES in test group was greatly higher than that of control group, while the score of SCL-90 was quite opposite.Conclusions Implementing early psychological intervention on the patients with stroke not only can arouse patients'potentials, strength their confidence, but also early eliminate the negative emotions and psychological disorder, promote better treatment and rehabilitation.
Keywords:Evidence-nursing  Stroke  Self-effect  Neural function  Psychological health
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