Application effect of positive psychological nursing intervention in nursing of senile acute ischemic stroke
积极心理护理干预在老年急性缺血性卒中护理中的应用成效

摘要

目的 观察积极心理护理干预对老年急性缺血性卒中患者的护理疗效。方法 将在长春市某医院于2020年5月~2021年5月期间接受治疗的156例患者进行随机分组，分为对照组78例和观察组78例，对照组的78名患者采用常规护理方法，观察组的78名患者在常规护理的基础上加用积极心理护理干预，对两组患者的美国国立卫生研究院卒中量表（NIHSS）评分、Barthel指数（BI）评分、mRS评分、进展性卒中发生率、出血率、远期死亡率及不良反应进行统计学分析，综合对比两组护理效果。结果 应用积极心理护理干预的观察组78例患者总体疗效与对照组患者相比均呈现出明显增加的效果；护理后1 d，7d，14d，90d的NIHSS评分、Barthei评分以及mRS评分均有所改善，且对照组改善的幅度明显低于观察组（p<0.05）。结论 在老年急性缺血性脑卒中患者的临床护理中，采用积极心理护理干预效果较传统疗法更为显著，可以改善日常的生活能力，改善预后，提高患者的生活质量。

Abstract

Objective To observe the nursing effect of positive psychological nursing intervention on elderly patients with acute ischemic stroke.
Methods A total of 156 patients who received treatment in a hospital in Changchun from May 2020 to May 2021 were randomly divided into control group (78 cases) and observation group (78 cases). 78 patients in the control group received conventional nursing methods, and 78 patients in the observation group received positive psychological nursing intervention on the basis of routine nursing. The National Institutes of Health Stroke Scale (NIHSS) score, Barthel index (BI) score, mRS Score, incidence of progressive stroke, bleeding rate, long-term mortality and adverse reactions of the two groups were statistically analyzed, and the nursing effects of the two groups were comprehensively compared.
Results The overall curative effect of 78 patients in the observation group with positive psychological nursing intervention was significantly increased compared with the control group. NIHSS score, Barthei score and mRS Score were improved on day 1, day 7, day 14 and day 90 after nursing, and the improvement range of the control group was significantly lower than that of the observation group (p<0.05).
Conclusion   In the clinical nursing of elderly patients with acute ischemic stroke, the effect of positive psychological nursing intervention is more significant than that of traditional therapy, which can improve the daily living ability, improve the prognosis and improve the quality of life of patients.