论文部分内容阅读
目的观察中青年脑梗死患者应用早期心理指导对其焦虑和神经功能康复的作用。方法选择2016年3月-2017年3月天津市环湖医院神经内科住院治疗的70例中青年急性脑梗死患者为研究对象,随机分为观察组和对照组各35例,对照组住院期间行常规神经内科护理措施和康复指导,观察组在对照组基础上结合相应的心理指导措施,2周后比较两组治疗前后Barthel指数、汉密尔顿焦虑量表(HAMA)和汉密顿抑郁量表(HDRS)三种评分的变化。结果两组患者年龄、性别、入院时美国国立卫生研究院卒中量表(NIHSS)评分,差异无统计学意义(P>0.05),入院时两组患者间比较Barthel指数、HAMA评分和HDRS评分,差异无统计学意义(P>0.05);经过2周治疗和相应的护理后,两组Barthel指数、HAMA评分和HDRS评分,差异有统计学意义(P<0.05)。结论对中青年脑梗死患者给予早期心理指导有利于改善患者焦虑,促进神经功能的康复。
Objective To observe the effect of early psychological guidance on anxiety and neurological rehabilitation in middle-aged and young patients with cerebral infarction. Methods From March 2016 to March 2017, 70 young and middle-aged patients with acute cerebral infarction hospitalized in Department of Neurology, Huanhu Hospital of Tianjin were enrolled in this study. All patients were randomly divided into observation group (35 cases) and control group (35 cases) The patients in the observation group received psychological counseling on the basis of the control group. Two weeks later, the Barthel Index, Hamilton Anxiety Scale (HAMA), and Hamilton Depression Rating Scale (HDRS) were compared between two groups before and after treatment. Three changes in the score. Results There were no significant differences in NIHSS scores between the two groups (P> 0.05). Barthel index, HAMA score and HDRS score were compared between the two groups on admission. There was no significant difference between the two groups (P> 0.05). After two weeks of treatment and corresponding nursing, Barthel index, HAMA score and HDRS score of two groups had statistically significant difference (P <0.05). Conclusion Early psychological guidance for middle-aged and young patients with cerebral infarction is beneficial to improve anxiety and promote the rehabilitation of neurological function.