介护干预对偏瘫患者情绪及生活质量的影响

　　摘 要 目的：探討介护干预对偏瘫患者情绪及生活质量的影响。方法：按照简单随机抽样方法于2016年3—9月在控江社区卫生服务中心上门随访的偏瘫患者中抽取100例患者，按照随机号码表法分为干预组50例和对照组50例，干预组实施介护干预，对照组接受常规社区护理干预。采用焦虑自评量表（SAS）、抑郁自评量表（SDS）和世界卫生组织生存质量测定简表（WHOQOL-BREF）评价介护干预前、后对偏瘫患者情绪和生活质量的影响。结果：干预组、对照组偏瘫患者的情绪在干预前差异无统计学意义（SDS：χ2=0.040，P=0.841；SAS：χ2=0.407，P=0.523）。经过6个月的干预后，两组患者的情绪差异有统计学意义（SDS：χ2=7.901，P=0.005；SAS：χ2=9.458，P=0.002）；两组偏瘫患者的生活质量在干预前差异无统计学意义（t=0.875，P=0.352）；经过6个月的干预后，两组偏瘫患者的生活质量差异有统计学意义（t=9.986，P=0.000），患者的心理、生理、社会、环境领域的生活质量差异均有统计学意义（P<0.01）。结论：介护干预能缓解偏瘫患者的情绪，提高患者的生活质量。
　　关键词 介护干预；偏瘫患者；焦虑；抑郁；生活质量
　　中图分类号：R682.2+2 文献标志码：A 文章编号：1006-1533（2018）04-0009-03
　　Effect of nursing intervention on emotion and quality of life in patients with hemiplegia
　　LI Guijiao， CHEN Jing， LI Xingchen， MI Junqing
　　（Department of Nursing， Kongjiang Community Health Service Center of Yangpu District， Shanghai 200093， China）
　　ABSTRACT Objective： To discuss the effect of nursing intervention on emotion and quality of life in patients with hemiplegia. Methods： According to the simple random sampling method 100 patients were selected from the patients with hemiplegia who were followed up in the Kongjiang Community Health Service Center from March to September 2016， and then divided into an intervention group with 50 cases and a control group with 50 cases by random number table method. The intervention group implemented nursing intervention and the control group received the common community nursing intervention. The self rating anxiety scale（SAS）， self rating depression scale（SDS） and the brief version of WHO quality of life（WHOQOL-BREF） were used to evaluate the effect of intervention on mood and quality of life in hemiplegic patients before and after intervention. Results： There was no significant difference in the hemiplegic patients between the intervention group and the control group before the intervention（SDS： χ2=0.040， P=0.841； SAS： χ2 =0.407， P=0.523）. After 6 months of intervention， the differences of the patients’ mood in the two groups had statistical significance（SDS： χ2 =7.901， P =0.005； SAS：χ 2=9.458， P=0.002）. The difference of quality of life of patients in the two groups had no statistical significance before the intervention（t=0.875， P=0.352）. After 6 months of intervention， the difference of quality of life of patients in the two groups had statistical significance（t=9.986， P=0.000）. There were significant differences in the quality of life in the psychological， physiological， social and environmental areas of the patients（P<0.01）. Conclusion： The nursing intervention can relieve the emotion of patients with hemiplegia and improve the quality of life of patients.

相关热词搜索：偏瘫 干预 生活质量 患者 情绪