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目的了解脑梗塞患者治疗前依从性与心理状态,探讨促进患者积极参与治疗的有效措施。方法选取重庆三峡中心医院2013-10/2016-10收治的300例脑梗塞患者作为研究对象,对其进行心理状态类型测试、治疗前依从性调查与有效预防干预,统计患者心理状态类型及比例,比较预防干预前后患者治疗前依从率及心理状态评分。结果 300例脑梗塞患者治疗前主要表现为焦虑、抑郁、沮丧、紧张、恐惧、烦躁、自卑、孤独8种心理状态,其中焦虑126例(42.00%)、恐惧38例(12.67%)、紧张37例(12.33%)。预防干预后患者治疗前依从率(95.67%)高于预防干预前(67.00%),心理状态评分高于预防干预前,差异显著(P<0.05)。结论脑梗塞患者在临床治疗中多伴有焦虑、恐惧、紧张等负性情绪,治疗前依从性较差,应给予有效的预防干预,以预防负性情绪带来的治疗不依从,进而提升治疗效果。
Objective To understand the pre-treatment compliance and psychological status of patients with cerebral infarction and to explore effective measures to promote the active participation of patients in the treatment. Methods A total of 300 patients with cerebral infarction who were treated in Chongqing Three Gorges Central Hospital from October 2013 to October 2016 were selected as subjects. The psychological status test, pre-treatment compliance and effective preventive intervention were performed. The types and proportions of psychological status, Pre-treatment patients before and after treatment compared the compliance rate and psychological status scores. Results Three hundred patients with cerebral infarction were mainly anxiety, depression, depression, nervousness, fear, irritability, inferiority and loneliness. Among them, 126 were anxiety (42.00%), 38 were fears (12.67%) and nervous Example (12.33%). The pre-treatment compliance rate (95.67%) was higher in patients with preventive intervention than that before preventive intervention (67.00%). The score of psychological status was higher than that before preventive intervention (P <0.05). Conclusions Patients with cerebral infarction are often accompanied by negative emotions such as anxiety, fear and nervousness. Before treatment, their compliance is poor. Effective preventive intervention should be given to prevent non-compliance with negative emotions and further improve the treatment effect.