强化康复干预联合共情护理对脑梗死患者心理状态、治疗依从性及生活质量的影响

目的:探讨强化康复干预联合共情护理对脑梗死患者心理状态、治疗依从性及生活质量的影响。方法:选取2017年1月至2019年1月在该院治疗的脑梗死患者150例,并根据入院顺序分为对照组和观察组,每组75例。均根据患者病情进行行管治疗,其中对照组采用强化康复干预的护理方式,观察组在此基础上进行共情护理,并分别于入院后和出院前采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估患者的焦虑抑郁变化情况,并比较两组的治疗依从性,通过SF-36评分比较治疗后的生活质量。结果:与入院时相比,出院前两组的SAS和SDS评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组的完全依从率为28.00%,对照组为14.67%,观察组高于对照组,差异有统计学意义(P=0.046)。与入院时相比,出院前两组的SF-36评分在各个维度均明显升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在脑梗死患者护理的过程中,采用强化康复联合共情护理的方式有利于促进患者心理状态的改善,并提高治疗的依从性,并进一步促进患者生活质量的提高。

Effects of intensive rehabilitation intervention combined with empathic nursing on mental state,treatment compliance and quality of life of cerebral infarction patients

Objective To explore the effects of intensive rehabilitation intervention combined with empathic nursing on mental state,treatment compliance and quality of life of cerebral infarction patients.Methods A total of 150 patients with cerebral infarction treated in the hospital from January 2017 to January 2019 were selected and divided into control group and observation group according to the order of admission,with 75 patients in each group.Both groups received tube therapy according to patients'condition.The control group adopted the nursing mode of intensive rehabilitation intervention,and the observation group carried out empathic nursing on this basis.Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were used to evaluate the changes of anxiety and depression of the patients after admission and before discharge respectively,and the treatment compliance of the two groups was compared.The quality of life after treatment was compared between the two groups using the SF-36 score.Results Compared with admission,SAS and SDS scores of the two groups before discharge were lower,and the observation group was lower than the control group,with statistically significant differences(P<0.05).The total compliance rate was 28.00%in the observation group and 14.67%in the control group,which was higher than that in the control group,with statistically significant difference(P=0.046).Compared with on admission,the hospital before the two groups of SF-36 score in each dimension were significantly increased,and the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusions In the nursing process of cerebral infarction patients,the adoption of intensive rehabilitation combined with empathic nursing is conducive to promoting the improvement of patients"psychological state,improve the treatment compliance and further promote the improvement of patients"quality of life.