知识-社会-心理结合模式在脑卒中病人心理和躯体障碍康复中的应用

目的:探讨知识-社会-心理结合模式在脑卒中病人心理和躯体障碍康复中的应用效果。方法:选取96例脑卒中病人，根据随机数字表分为观察组（n=48）及对照组（n=48），对照组应用常规性护理，观察组应用知识-社会-心理结合模式实施护理，分别于干预前后应用焦虑自评量表（SAS）及抑郁自评量表（SDS）对2组病人心理状况进行评价，并应用Fugl-Meyer评价法及脑卒中影响量表（SIS）对脑卒中病人躯体状况及生活质量进行评价。结果:观察组病人干预后SAS评分、SDS评分均显著低于对照组病人（P<0.01）。观察组干预后上肢运动功能、下肢运动功能评分均明显高于对照组（P<0.01）。观察组干预后SIS评分较对照组明显升高（P<0.01）。结论:知识-社会-心理结合模式可有效改善脑卒中病人心理状况、改善病人运动功能，有利于提高脑卒中病人生活质量。

Application value of knowledge-society-psychology model in the rehabilitation of mental and physical disorders in patients with stroke

Objective:To explore the application effects of knowledge-society-psychology model in the rehabilitation of mental and physical disorders in patients with stroke.Methods:Ninety-six stroke patients were divided into the observation group(n =48) and control group(n=48) according to the random number table.The control group and observation group were nursed with routine model and knowledge-society-psychology model,respectively. The psychological status in two groups were evaluated using the self-rating anxiety scale(SAS) and self-rating depression scale(SDS) before and after the intervention.The physical condition and quality of life in two groups were evaluated using Fugl-Meyer and stroke impact scale(SIS).Results:The scores of SAS and SDS in observation group were significantly lower than those in control group after intervention(P<0.01).The motor function scores of the upper and lower limbs in observation group after intervention were significantly higher than those than in control group(P < 0. 01). The SIS score in observation group after intervention significantly increased compared with control group(P <0.01). Conclusions:The knowledge-society-psychology model can improve the psychological status,motor function and quality of life of patients with stroke.