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目的 探讨个性化心理护理对老年卒中后遗症患者心理消极情绪的效果.方法 2017年6月～2020年2月选择在本院诊治的老年卒中后遗症患者68例作为研究对象,根据随机信封抽签原则把患者分为个性组与对照组,各34例.两组都给予神经内科常规治疗,对照组在治疗期间给予常规护理,个性组在对照组的基础上给予个性化心理护理,两组护理观察时间为4周.结果 两组护理后的美国国立卫生研究院卒中量表(NIHSS)评分都低于护理前(P＜0.05),且个性组评分低于对照组(P＜0.05).两组护理后的焦虑与抑郁评分都低于护理前(P＜0.05),且个性组评分低于对照组(P＜0.05).两组护理后的上肢Fugl-Meyer运动功能评定量表(FMA)评分高于护理前(P＜0.05),且个性组评分高于对照组(P＜0.05).结论 个性化心理护理能改善老年卒中后遗症患者的心理消极情绪,有利于神经功能缺损的恢复,从而提高运动功能,有很好的应用价值.“,”Objective To explore the effect of personalized psychological nursing on the negative emotions of elderly patients with stroke sequelae. Methods From June 2017 to February 2020, 68 elderly patients with sequelae of stroke who were diagnosed and treated in this hospital were selected as the research objects. According to the principle of random envelope drawing, the patients were divided into individuality group and control group, with 34 cases in each group. Both groups were given conventional neurology treatment, the control group was given regular nursing during the treatment period, and the individuality group was given personalized psychological nursing on the basis of the control group. The nursing observation time of the two groups was 4 weeks. Results The scores of the National Institutes of Health stroke scale (NIHSS) after nursing in both groups were lower than before nursing (P＜0.05), and the scores of personality group were lower than those of control group (P＜0.05). The anxiety and depression scores of the two groups after nursing were lower than those before nursing (P＜0.05), and the scores of the personality group were lower than those of the control group(P＜0.05). The Fugl-Meyer Assessment (FMA) scores of the upper limbs after nursing were higher than that before nursing (P＜0.05), and the scores of personality group were higher than those of control group (P＜0.05). Conclusion Personalized psychological nursing can improve the negative emotions of elderly patients with sequelae of stroke, and is beneficial to the recovery of neurological deficits, thereby improving motor function, and has good application value.