优质护理模式对脑梗死患者不良心理及锻炼、治疗依从性的影响

摘要

目的:探讨优质护理模式对脑梗死患者不良心理及锻炼、治疗依从性的影响.方法:选择2016年1月～2017年1月我院收治的脑梗死患者68例,将患者随机等分为对照组和观察组.对照组按照脑梗死护理路径对患者进行常规护理,观察组患者在常规护理的基础上予以优质护理模式,比较两组患者入组前、入组1个月后、入组3个月后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分变化,两组患者入组1个月、3个月的遵医锻炼、治疗依从性.两组患者入组前、入组3个月后生活质量评分变化.结果:两组患者入组1,3个月后SDS、SAS评分均较入组前有明显降低,生存质量评分明显升高,但观察组患者入组后1,3个月SDS,SAS评分均低于对照组(P<0.05),生存质量评分中的生理、心理评分均高于对照组(P<0.05).两组患者入组后3个月遵医锻炼、遵医治疗依从性明显高于入组后1个月,且观察组入组3个月后遵医锻炼和治疗依从性均明显高于对照组(P<0.05).结论:优质护理模式对改善脑梗死患者不良心理状态,提升患者遵医治疗和锻炼的依从性具有显著的效果,应用于脑梗死患者的护理具有重要临床价值.%Objective: To explore the effect of high quality nursing model on unhealthy psychology , exercise and treatment compliance of the patients with cerebral infarction.Methods:Selected 68 cases of patients with cerebral infarction admitted to our hospital in January 2016 to January 2017, and they were equally divided into control group and observation group at random.Routine nursing was given to the patients from the control group according to the cere-bral infarction nursing path, and high quality nursing model was given to the patients from the observation group on the basis of routine nursing .The patients from the two groups were compared for their self -rating anxiety scale ( SAS) and self-rating depression scale ( SDS) changes before their joining the groups, 1 month and 3 months later after their joining the groups, their compliance exercise, and treatment compliance 1 month and 3 months later after their joining the groups, and their life quality score changes before their joining the groups and 3 months later after their joining the groups.Results: The patients from the two groups all had significantly reduced SDS and SAS scores 1 month and 3 months after their joining the groups , and their life quality scores were also increased significantly, however, the patients from observation group had lower SDS and SAS scores than those from control group 1 month and 3 months later after their joining the groups(P<0.05), and the patients from observation group had higher scores of physiology and psychology in life quality than those from control group ( P<0 .05 ) .The patients from the two groups had significantly higher exercise and treatment compliance 3 months later after their joining the groups than that1 month after their joining the groups , and the patients from observation group were significantly superior to those from control group in exercise and treatment compliance 3 months later after their joining the groups(P<0.05).Conclusion:High quality nursing model had a significant effect to improve the unhealthy psychology of patients with cerebral infarction , and increase their treatment and exercise compliance , so it would have an important clinical value for the patients with cerebral infarction .