张海英，刘若训.山东省淄博市中医医院中风科药剂科，山东淄博　55300；.山东省淄博市中医医院，山东淄博　55300



情志干预对急性期中风患者焦虑抑郁情绪及用药依从性的影响

张海英1，刘若训2
1.山东省淄博市中医医院中风科药剂科，山东淄博255300；2.山东省淄博市中医医院，山东淄博255300

目的分析情志干预对急性期中风患者焦虑抑郁情绪及用药依从性的影响。方法选择2014年8月—2015年8 月68例急性期中风患者为研究对象，采用随机数字表法分为观察组及对照组各34例。对照组患者接受常规干预，观察组患者联合应用情志干预，比较两组患者的焦虑抑郁、用药依从性、临床疗效等指标。结果观察组有效率85.29%，明显高于对照组61.67%（P＜0.05）；SAS、SDS评分值分别为（40.45±4.61）、（38.59±4.17），明显低于对照组的（52.72± 6.74）（49.65±5.25）（P＜0.05），用药依从率97.06%，明显高于对照组的82.35%（P＜0.05）。结论情志干预有助于缓解急性期中风患者的负面情绪，增强患者用药依从性，提高治疗效果。

中风；情志干预；焦虑抑郁；用药依从性

［Abstract］Objective To analyze the effect of emotion intervention on anxiety and depression and medication compliance in patients with acute stroke.Methods 68 cases of patients with acute stroke from August 2014 to August 2015 were selected as the research objects and randomly divided into two groups with 34 cases in each，the control group adopted routine intervention，the observation group adopted emotion intervention on the basis of the control group，and the anxiety and depression，medication compliance and clinical curative effect of the two groups were compared.Results The effective rate in the observation group was obviously higher than that in the control group，（85.29%vs 61.67%），P＜0.05，the SAS and SDS scores in the observation group were obviously lower than those in the control group，［（40.45±4.61），（38.59±4.17）vs（52.72±6.74），（49.65±5.25）］（P＜0.05），and the medication compliance rate in the observation group was obviously higher than that in the control group，（97.06%vs 82.35%），P＜0.05.Conclusion The emotion intervention contributes to relieving the negative emotion of patients with acute stroke，enhance the medication compliance of patients and improve the treatment effect.

［Key words］Stroke；Emotion intervention；Anxiety and depression；Medication compliance

中风发病率逐年递增，多伴有不同程度的神经及肢体功能障碍，严重影响患者的生活质量。中风患者的不良治疗结局除了与病情本身相关，还与护理人员的干预恰当与否、患者的主观治疗依从性等直接相关［1］。情志干预是以中医理论为指导的全新护理干预措施，强调良好的护患关系，用科学的护理方法来改善甚至消除患者的不良情绪，从而增强患者的治疗信心、优化治疗行为［2］。该文采取随机对照研究的方法，探讨情志干预对急性期中风患者焦虑抑郁情绪及用药依从性的影响，现报道如下。……