文章摘要
何文文,陶学芳,周春霞,潘君燕,王敏,陆杨莹.健康管理对老年缺血性脑卒中患者心理状态及生活质量的影响[J].中国临床保健杂志,2018,21(3):342-344.
健康管理对老年缺血性脑卒中患者心理状态及生活质量的影响
The effect of health management on the mental state and quality of life of the elderly patients with ischemic stroke
投稿时间:2018-03-01  
DOI:10.3969/J.issn.1672-6790.2018.03.015
中文关键词: 卒中  健康教育  心理过程  生活质量  老年人
英文关键词: Stroke  Health education  Mental PRocesses  Quality of life  Aged〖FL
基金项目:
作者单位E-mail
何文文 浙江绍兴市立医院老年医学科,绍兴 312000 1369620604@qq.com 
陶学芳 浙江绍兴市立医院老年医学科,绍兴 312000  
周春霞 浙江绍兴市立医院老年医学科,绍兴 312000  
潘君燕 浙江绍兴市立医院老年医学科,绍兴 312000  
王敏 浙江绍兴市立医院老年医学科,绍兴 312000  
陆杨莹 浙江绍兴市立医院老年医学科,绍兴 312000  
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中文摘要:
      目的 探讨老年缺血性脑卒中患者应用健康管理的临床效果。方法 选取110例老年缺血性脑卒中患者,按照随机数字表法分为对照组(55例)及观察组(55例)。对照组患者应用常规巩固治疗及康复锻炼等,观察组患者在此基础上开展健康管理。比较两组患者管理前后神经功能缺损评分、生活质量评分、心理状态评分及并发症发生情况。结果 管理前,两组患者神经功能缺损评分、心理状态评分均差异无统计学意义(P>0.05)。经过管理6个月后,观察组患者神经功能缺损评分[(5.37±4.03)分]明显低于对照组[(9.89±4.21)分],t=5.752,P<0.001;观察组患者生活质量各项指标评分均高于对照组,观察组SAS及SDS评分均低于对照组,两组比较,均差异有统计学意义(P<0.05);观察组并发症发生率为3.6%远低于对照组的14.5%,(χ2=3.960,P=0.047)。结论 老年缺血性脑卒中患者应用健康管理干预后,不仅神经功能缺损状况有所好转,提高了生活质量,降低了并发症发生率,同时也消除患者抑郁、焦虑等不良情绪,有助于改善预后。
英文摘要:
      Objective To explore the clinical effect of health management for the elderly patients with ischemic stroke.Methods 110 elderly patients with ischemic stroke diagnosed and treated in geriatrics department of Shaoxing municipal hospital were randomly divided into the control group (55 cases) and observation group (55 cases).The patients in the control group were treated with routine consolidation therapy and rehabilitation exercise,and the patients in the observation group started health management on this basis.The scores of nerve function defect,quality of life,mental state (SAS and SDS) and the incidence of complications were compared before and after management of the 2 groups.Results Before health management,there was no significant difference between the scores of nerve function defect and mental state between the 2 groups(P>0.05).After 6 months of health management,the scores of nerve function defect were significantly lower and the observed indicators on quality of life were higher in the observation group than the control group (P<0.05).SAS and SDS scores in the observation group were both lower than those in the control group (P<0.05).The complication rate of observation group was 3.6%,lower than 14.5% of the control group (χ2=3.960,P=0.047).Conclusion Senile patients with ischemic stroke intervented by the health management improve not only the nerve function defect situation and the quality of life and reduce the incidence of complications,but also eliminate depression,anxiety and other negative emotions.
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