首页|中医情志干预联合焦点解决模式对脑卒中恢复期患者心理状态及健康行为的影响

中医情志干预联合焦点解决模式对脑卒中恢复期患者心理状态及健康行为的影响

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目的 分析脑卒中恢复期患者实施中医情志干预联合焦点解决模式对心理状态及健康行为的影响.方法 按照组间基本特征具有可比性的原则,将 2020 年 1 月—2022 年 12月哈尔滨市中医医院接收的 140 例脑卒中恢复期患者分为观察组与对照组,每组70 例.对照组患者实施常规护理干预,观察组患者实施中医情志干预联合焦点解决模式干预.比较两组患者干预前后的心理状态[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]、健康行为[脑卒中健康行为量表(HPLP-II)]、运动功能[运动功能评定量表(FMA)].结果 干预 3 个月,观察组患者SAS、SDS评分低于对照组患者,组间比较差异有统计学意义(P<0.05);观察组患者健康责任感、营养、自我实现、人际关系、运动锻炼、压力管理评分高于对照组患者,组间比较差异有统计学意义(P<0.05);观察组患者上、下肢运动功能评分高于对照组患者,组间比较差异有统计学意义(P<0.05).结论 在脑卒中恢复期患者的临床护理中应用中医情志干预联合焦点解决模式效果较好,可改善患者的心理状态,提升其健康行为,促进运动功能恢复.
Effect of traditional Chinese medicine emotional intervention combined with solution-focused model on the psychological status and health behavior of patients with stroke in recovery period
Objective To analyze the impact of traditional Chinese medicine emotional intervention combined with solution-focused model psychological status and health behavior of patients with stroke in recovery period.Methods A total of 140 patients with stroke in recovery period received by Harbin Traditional Chinese Medicine Hospital from January 2020 to December 2022 were selected and divided into an observation group and a control group following the principle of comparability of basic characteristics between groups,with 70 patients in each group.Patients in the control group received routine nursing intervention,while patients in the observation group received Chinese medicine emotional intervention combined with solution-focused model.The psychological status[Self-rating Anxiety Scale(SAS)score and Self-rating Depression Scale(SDS)score],health behavior[Health Promoting Lifestyle Profile-II(HPLP-II)],and motor function[Fugl-Meyer Motor Assessment(FMA)]of the two groups of patients before and after intervention were compared.Results After 3 months of intervention,the SAS and SDS scores of patients in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05);the scores of patients in the observation group on health responsibility,nutrition,self-actualization,interpersonal relationships,exercise,and stress management were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05);the upper and lower limbs motor function scores of the patients in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The application of traditional Chinese medicine emotional intervention combined with the focus solution model in the clinical nursing of stroke reconvalescent yields better results.It can improve the patient's psychological state,enhance their health behaviors,and promote the recovery of motor functions.

Stroke recovery periodTraditional Chinese medicine emotional interventionSolution-focused modelPsychological stateHealth behavior

张英丹、范秋珍、邹琳琳、张蕊、孙婷婷、曹娜

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哈尔滨市中医医院(黑龙江省 哈尔滨市,150076)

脑卒中恢复期 中医情志干预 焦点解决模式 心理状态 健康行为

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(8)
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