延续性心理护理对脑卒中后遗症患者主观幸福感及生活质量的影响

宋惠琴　华青霞　苏惠仪

【摘要】 目的：探讨延续性心理护理对脑卒中后遗症患者主观幸福感及生活质量的影响。方法：采用便利抽樣法选取2017年1月-2018年1月本院出院脑卒中后遗症患者80例，按照随机分组法将其分为研究组（延续性心理护理）和对照组（常规延续性护理），各40例。干预6个月后，对比两组干预前后主观幸福感及生活质量。结果：干预6个月后，研究组主观幸福感各项评分及总分均优于对照组，生活质量各维度评分均高于对照组，差异均有统计学意义（P<0.05）。结论：脑卒中后遗症患者中实施延续性心理护理，可改善其主观幸福感，提升生活质量，值得进行深入研究和推广。

【关键词】 脑卒中; 后遗症; 延续性心理护理; 主观幸福感; 生活质量

Effect of Continuous Psychological Nursing on Subjective Well-being and Quality of Life of Patients with Stroke Sequelae/SONG Huiqin，HUA Qingxia，SU Huiyi.//Medical Innovation of China，2019，16（19）：-104

【Abstract】 Objective：To explore the effect of continuous psychological nursing on subjective well-being and quality of life of patients with stroke sequelae.Method：A total of 80 patients with stroke sequelae discharged in our hospital from January 2017 to January 2018 were selected by convenience sampling method.According to the random stratified grouping method，they were divided into study group（continuing psychological nursing）and control group（routine continuing nursing），40 cases in each group.After intervention 6 months，subjective well-being and quality of life before and after intervention between two groups were compared.Result：After 6 months of intervention，the each score and total scores of subjective well-being in study group were better than those of control group，and the scores of each dimensions of quality of life in study group were higher than those of control group，the differences were statistically significant（P<0.05）.Conclusion：Continuous psychological nursing in patients with stroke sequelae can improve their subjective well-being and quality of life，which is worthy of further research and promotion.

【Key words】 Stroke; Sequela; Continuous psychological nursing; Subjective well-being; Quality of life

First-authors address：Dongguan Renkang Hospital，Dongguan 523000，China

doi：10.3969/j.issn.1674-4985.2019.19.026

脑卒中是严重威胁人类生命健康的一个疾病类型，具有较高发病率和病死率。据调查，初次发病的脑卒中患者中，70%～80%可出现不同程度后遗症，包括吞咽困难、语言障碍、偏瘫等，会加重患者经济及精神负担[1]。临床上治疗脑卒中后遗症的关键是长期康复干预及训练。而康复功能训练最佳时机为脑卒中后4～6个月，该阶段大多患者病情稳定出院进行居家护理[2]。而脑卒中后遗症患者出院后能否保持康复训练的积极性、主动性、连续性，是影响其康复效果的关键。但是事实上多数居家脑卒中后遗症患者也极易因自身病痛、自理能力降低、经济负担、家庭关系等，出现焦虑、烦躁等不良心理，影响依从性，导致语言、肢体、神经等功能恢复延缓，严重者甚至增加病死率[3]。故需加强脑卒中后遗症患者出院后心理干预，帮助其缓解不良心理状态，改善依从性，促进康复。而以往常规出院后随访仅重视以电话方式进行康复指导，且电话随访仅能浅薄了解患者一段时间内病情及心理情况，有些患者在电话中往往不能准确表达自身感受，仅经由电话安慰患者效果不佳，实际应用价值低。基于此，本次研究选取2017年1月-2018年1月本院出院脑卒中后遗症患者80例，调查分析了延续性心理护理的应用效果，并重点探讨其对患者主观幸福感与生活质量的影响，现报道如下。

1 资料与方法

1.1 一般资料 采用便利抽样法选取2017年