神经内科住院患者负性情绪的相关因素及心理护理的干预作用

摘要

目的：探讨神经内科住院患者负性情绪的相关因素及心理护理的干预作用。方法采用回顾性分析法，选取2013年8月至2014年10月本院收治的100例神经内科住院患者临床资料，按照护理方法的不同将患者分为对照组和观察组各50例。对照组采用常规护理，观察组采用心理护理干预，对所有患者均采用 Zung 抑郁自评量表（SDS），日常生活能力（ADL ）评分、焦虑自评量表（SAS）等对患者进行评定，分析患者负性情绪的相关因素，并对患者实施相应的心理护理。结果对患者进行一段时间的观察和分析后，发现影响患者负性情绪产生的主要相关因素包含社会支持、经济条件、睡眠、日常生活能力等；发现观察组患者 SDS 、ADL 、SAS 明显高于对照组，差异有统计学意义（P＜0．05）。结论睡眠、日常生活能力、社会支持及经济条件等是影响神经内科住院患者负性情绪产生的相关因素，在患者康复期间要针对这些因素对患者实施有效的心理护理，降低患者负面情绪，提高患者治疗依从性，促进患者康复。%Objective To investigate the related factors of negative emotions in neurological inpatients and the effect of psychological nursing intervention .Methods The retrospective analysis method was adopted .The clinical data in 100 neurological inpatients in our hospital from August 2013 to October 2014 were collected .The inpatients were divided into the control group and the observation group according to different nursing methods ,50 cases in each group .The control group adopted the routine nursing care ,while the observation group adopted the psychological nursing intervention .All the patients were evaluated by adopting the Zung Self‐Rating Depression Scale (SDS) ,activ‐ities of daily living (ADL) scoring and Self‐Rating Anxiety Scale(SAS) .The negative emotions related factors were analyzed and the corresponding psychological care was implemented .Results By a time period of observation and a‐nalysis ,it was found that the main related factors affecting the patients′ negative emotions generation included the so‐cial support ,economic conditions ,sleep ,activities of daily living ,etc .the scores of SDS ,ADL and SAS in the observa‐tion group were significantly higher than those in the control group ,the differences were statistically significant (P<0 .05) .Conclusion Sleep ,daily life ability ,social support ,economic conditions ,etc .are the related factors affecting negative emotions generation in the neurological inpatients .During their rehabilitation period ,the effective psycholog‐ical nursing by aiming at these factors should be implemented to reduce their negative emotions ,improve the thera‐peutic compliance and promote patients recovery .