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目的 探讨心理护理联合康复指导在急性脑血管疾病患者中的应用价值.方法 将2019年1月～2020年12月如皋市第四人民医院诊治急性脑血管疾病患者184例随机分为常规组和联合组各92例,常规组入院后进行常规护理,联合组在此基础上实施心理护理联合康复指导.结果 入院时两组抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、Fugl-Meyer评估量表(FMA)评分、巴氏量表(BI)评分比较无差异(P＞0.05),干预1个月后,联合组SDS评分、SAS评分低于常规组(P＜0.05);联合组FMA评分、BI评分高于常规组(P＜0.05);联合组总有效率高于常规组(P＜0.05).结论 及时给予脑血管疾病患者治疗的同时加强康复指导和心理护理,能够改善患者心理状态,促进肢体功能恢复,提高日常生活活动能力及治疗效果.“,”Objective To explore the application value of psychological nursing combined with rehabilitation guidance in patients with acute cerebrovascular disease. Methods From January 2019 to December 2020, 184 patients with acute cerebrovascular disease diagnosed and treated in the Fourth People\'\'s Hospital of Rugao City were randomly divided into the routine group and the combined group with 92 cases each. The routine group received routine care after admission, and the combined group was based on this Implementation of psychological nursing joint rehabilitation guidance. Results There was no difference in the scores of the self-rating depression scale (SDS), self-rating anxiety scale (SAS), fugl-meyer assessment (FMA) and Barthel index scores between the two groups at admission (P＞0.05). After 1 month of intervention, the combined group SDS The score and SAS score were lower than those of the conventional group (P＜0.05); the FMA score and Barthel index score of the combined group were higher than those of the conventional group (P＜0.05); the total effective rate of the combined group was higher than that of the conventional group (P＜0.05). Conclusion Timely treatment of patients with cerebrovascular disease and strengthening of rehabilitation guidance and psychological care can improve the mental state of patients, promote the recovery of limb function, and improve the ability of daily living activities and the treatment effect.