［摘要］  目的  提高腦卒中引起的偏癱恢復(fù)期患者的心理護理效果，最大限度地促進患者康復(fù)。方法  腦卒中偏癱恢復(fù)期患者56例，隨機分為康復(fù)組和對照組各28例。康復(fù)組實施以自我效能理論為指導(dǎo)的規(guī)范化康復(fù)護理方案，對照組給予傳統(tǒng)康復(fù)護理，入選時和干預(yù)1個月、2個月后采用腦卒中后抑郁多模式方法診斷、焦慮自評量表進行評定。結(jié)果  兩組腦卒中后抑郁多模式方法診斷、焦慮自評分均較前一階段顯著性降低（P<0.01）。焦慮自評分：1個月、2個月后康復(fù)組降低分均顯著大于對照組（P<0.01）；腦卒中后抑郁多模式方法診斷評分：1個月后，康復(fù)組降低分顯著大于對照組（P<0.05）；2個月后，康復(fù)組降低分顯著大于對照組（P<0.01）。結(jié)論  腦卒中偏癱恢復(fù)期心理護理有助于患者心理功能改善。

　?。坳P(guān)鍵詞］  心理護理；偏癱；恢復(fù)期

　　Study on psychological nursing to patients with hemiplegia after stroke in rahabilitation period

　　MENG Hong-yu,GU Ling,LI Li-hua,et al.Geriatrics Hospital,Yangpu District,Shanghai 200090,China

　　［Abstract］  Objective  To improve the effects of psychological nursing to hemiplegic patients with stroke in rehabilitation period.Methods  56 cases of hemiplegic patients with stroke in rehabilitation period were divided into experimental group and control group randomly.For the experimental group,we adopted standard rehabilitation nursing directed by “Self-Efficacy Theory”,for the control group, we adopted traditional rehabilitation nursing. Evaluations were done beginning,one and two months afterwards by Multimodel Approach to Diagnosis of Post-Stroke Depress,Self Rating Anxiety Scale.Results  Two groups Multimodel Approach to Diagnosis of Post-Stroke Depress,Self Rating Anxiety Scale score were lower than former phrase significantly（P<0.01）.Self Rating Anxiety Scale:one and two months later,experimental groups decline score were higher than those in control group（P<0.01）.Multimodel Approach to Diagnosis of Post-Stroke Depress :one month later,experimental groups decline score was higher than control group（P<0.05）,two months later,experimental groups decline score was higher than control group（P<0.01）.Conclusion  The standard rehabilitation nursing to hemiplegic inpatients with stroke in rehabilitation period can improve patientspsychological function.

　?。跭ey words］  stroke;hemiplegia;psychological nursing
   
　　腦卒中是一類危害人類健康問題的常見病、多發(fā)病，其發(fā)病率、患病率、致殘率均相當(dāng)高，我國腦卒中的發(fā)病率為每年150／10萬［1］。由于臨床對腦血管疾病診斷、搶救和治療技術(shù)的提高，使急性期病死率大幅度下降，而存活率、致殘率明顯上升，約為86.5％，患者留有不同程度的運動、認(rèn)知、情感障礙等，給家庭和社會帶來沉重的負(fù)擔(dān)［2］。由于不少患者遺留了嚴(yán)重殘疾，嚴(yán)重影響其生活質(zhì)量和日常生活活動能力，降低了患者的生活信心與克服疾病的意志。腦卒中后抑郁（post-stroke depression，PSD）、焦慮是腦卒中常見的情感障礙并發(fā)癥，發(fā)病率達20%～60%［3］。情感障礙加重患者已存在的生理康復(fù)，嚴(yán)重影響康復(fù)效果。