王錫錦

摘要：目的 ?研究情緒管理對(duì)腦梗死患者焦慮、抑郁及睡眠障礙的影響。方法 ?選取2016年6月～2017年1月在我院診治的80例腦梗死患者為研究對(duì)象，采用隨機(jī)數(shù)字表法分為對(duì)照組和觀察組，各40例。對(duì)照組采用常規(guī)護(hù)理，觀察組在對(duì)照組基礎(chǔ)上采用情緒管理，比較兩組臨床患者干預(yù)前后焦慮、抑郁、睡眠質(zhì)量評(píng)分以及護(hù)理滿意度。結(jié)果 ?干預(yù)后兩組焦慮、抑郁評(píng)分均低于干預(yù)前，且觀察組低于對(duì)照組（P<0.05）;干預(yù)后兩組睡眠質(zhì)量評(píng)分均低于干預(yù)前，且觀察組低于對(duì)照組（P<0.05）;觀察組護(hù)理滿意度高于對(duì)照組（P<0.05）。結(jié)論 ?腦梗死患者應(yīng)用情緒管理有助于改善患者焦慮、抑郁情緒，提高其睡眠質(zhì)量及護(hù)理滿意度，值得臨床應(yīng)用

關(guān)鍵詞：情緒管理;腦梗死;焦慮;抑郁;睡眠障礙

中圖分類號(hào)：R473.74 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?文獻(xiàn)標(biāo)識(shí)碼：A ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?DOI：10.3969/j.issn.1006-1959.2020.17.058

文章編號(hào)：1006-1959（2020）17-0186-02

Abstract：Objective ?To study the effect of emotional management on anxiety， depression and sleep disorders in patients with cerebral infarction. Methods ?A total of 80 patients with cerebral infarction who were diagnosed and treated in our hospital from June 2016 to January 2017 were selected as the research objects. They were divided into the control group and the observation group by random number table method， with 40 cases in each group. The control group used routine nursing care， and the observation group used emotion management on the basis of the control group. The anxiety， depression， sleep quality scores and nursing satisfaction of the two clinical patients were compared before and after intervention.Results ?After the intervention， the anxiety and depression scores of the two groups were lower than those before the intervention， and the observation group was lower than the control group（P<0.05）; the sleep quality scores of the two groups after the intervention were lower than those before the intervention， and the observation group was lower the control group（P<0.05）; the observation group's nursing satisfaction was higher than the control group（P<0.05）.Conclusion ?The application of emotional management in patients with cerebral infarction could help improve patients' anxiety and depression， improved their sleep quality and nursing satisfaction， and was worthy of clinical application.

Key words：Emotion management;Cerebral infarction;Anxiety;Depression;Sleep disorders

腦梗死（cerebral infarction）是臨床常見腦血管疾病，致殘、致死率高，嚴(yán)重影響患者的生命健康和生活質(zhì)量。早期溶栓治療可一定程度緩解病情，降低致殘、致死率，但大部分患者仍然存在不同程度的功能障礙、睡眠障礙、肢體偏癱等后遺癥，患者容易產(chǎn)生焦慮、抑郁等負(fù)性情緒，增加復(fù)發(fā)風(fēng)險(xiǎn)，影響患者良好預(yù)后的形成。臨床常規(guī)護(hù)理干預(yù)有助于改善患者不良心理情緒和睡眠障礙，促進(jìn)患者的良好康復(fù)。研究顯示[1]，腦梗死患者護(hù)理中應(yīng)用情緒管理，可以針對(duì)性改善患者負(fù)性情緒，但是具體的改善效果、護(hù)理滿意度以及對(duì)睡眠質(zhì)量的影響尚存在爭(zhēng)議。本研究結(jié)合2016年6月～2017年1月在我院診治的80例腦梗死患者臨床資料，研究情緒管理對(duì)腦梗死患者焦慮、抑郁及睡眠障礙的影響?，F(xiàn)報(bào)告如下：