摘 要 目的：探討介護(hù)干預(yù)對(duì)偏癱患者情緒及生活質(zhì)量的影響。方法：按照簡單隨機(jī)抽樣方法于2016年3—9月在控江社區(qū)衛(wèi)生服務(wù)中心上門隨訪的偏癱患者中抽取100例患者，按照隨機(jī)號(hào)碼表法分為干預(yù)組50例和對(duì)照組50例，干預(yù)組實(shí)施介護(hù)干預(yù)，對(duì)照組接受常規(guī)社區(qū)護(hù)理干預(yù)。采用焦慮自評(píng)量表（SAS）、抑郁自評(píng)量表（SDS）和世界衛(wèi)生組織生存質(zhì)量測(cè)定簡表（WHOQOL-BREF）評(píng)價(jià)介護(hù)干預(yù)前、后對(duì)偏癱患者情緒和生活質(zhì)量的影響。結(jié)果：干預(yù)組、對(duì)照組偏癱患者的情緒在干預(yù)前差異無統(tǒng)計(jì)學(xué)意義（SDS：χ2=0.040，P=0.841；SAS：χ2=0.407，P=0.523）。經(jīng)過6個(gè)月的干預(yù)后，兩組患者的情緒差異有統(tǒng)計(jì)學(xué)意義（SDS：χ2=7.901，P=0.005；SAS：χ2=9.458，P=0.002）；兩組偏癱患者的生活質(zhì)量在干預(yù)前差異無統(tǒng)計(jì)學(xué)意義（t=0.875，P=0.352）；經(jīng)過6個(gè)月的干預(yù)后，兩組偏癱患者的生活質(zhì)量差異有統(tǒng)計(jì)學(xué)意義（t=9.986，P=0.000），患者的心理、生理、社會(huì)、環(huán)境領(lǐng)域的生活質(zhì)量差異均有統(tǒng)計(jì)學(xué)意義（P<0.01）。結(jié)論：介護(hù)干預(yù)能緩解偏癱患者的情緒，提高患者的生活質(zhì)量。
　　關(guān)鍵詞 介護(hù)干預(yù)；偏癱患者；焦慮；抑郁；生活質(zhì)量
　　中圖分類號(hào)：R682.2+2 文獻(xiàn)標(biāo)志碼：A 文章編號(hào)：1006-1533（2018）04-0009-03
　　Effect of nursing intervention on emotion and quality of life in patients with hemiplegia
　　LI Guijiao， CHEN Jing， LI Xingchen， MI Junqing
　�。―epartment of Nursing， Kongjiang Community Health Service Center of Yangpu District， Shanghai 200093， China）
　　ABSTRACT Objective： To discuss the effect of nursing intervention on emotion and quality of life in patients with hemiplegia. Methods： According to the simple random sampling method 100 patients were selected from the patients with hemiplegia who were followed up in the Kongjiang Community Health Service Center from March to September 2016， and then divided into an intervention group with 50 cases and a control group with 50 cases by random number table method. The intervention group implemented nursing intervention and the control group received the common community nursing intervention. The self rating anxiety scale（SAS）， self rating depression scale（SDS） and the brief version of WHO quality of life（WHOQOL-BREF） were used to evaluate the effect of intervention on mood and quality of life in hemiplegic patients before and after intervention. Results： There was no significant difference in the hemiplegic patients between the intervention group and the control group before the intervention（SDS： χ2=0.040， P=0.841； SAS： χ2 =0.407， P=0.523）. After 6 months of intervention， the differences of the patients’ mood in the two groups had statistical significance（SDS： χ2 =7.901， P =0.005； SAS：χ 2=9.458， P=0.002）. The difference of quality of life of patients in the two groups had no statistical significance before the intervention（t=0.875， P=0.352）. After 6 months of intervention， the difference of quality of life of patients in the two groups had statistical significance（t=9.986， P=0.000）. There were significant differences in the quality of life in the psychological， physiological， social and environmental areas of the patients（P<0.01）. Conclusion： The nursing intervention can relieve the emotion of patients with hemiplegia and improve the quality of life of patients.

相關(guān)熱詞搜索：偏癱 干預(yù) 生活質(zhì)量 患者 情緒