王珍兰 江定武

【摘要】 目的：探讨积极心理联合康复锻炼在焦虑症患者中的护理效果及对肢体功能的影响。方法：选取2018年3月-2019年6月笔者所在医院收治的焦虑症患者150例，随机分为两组，对照组采用常规护理，研究组采用积极心理联合康复锻炼，比较两组护理效果、焦虑抑郁情绪、自护能力、肢体运动功能和生活质量情况。结果：对照组总有效率、ESCA评分均低于研究组（P<0.05）;对照组SDS及SAS评分均高于研究组（P<0.05）;对照组Fugl-Meyer及WHOQOL-HIV评分均低于研究组（P<0.05）。结论：焦虑症患者采取积极心理联合康复锻炼护理效果显著，能有效提高自护能力、肢体运动功能和生活质量，还能缓解不良情绪，应推广应用。

【关键词】 焦虑症 积极心理 康复锻炼 肢体功能 护理效果

doi：10.14033/j.cnki.cfmr.2020.10.074 文献标识码 B 文章编号 1674-6805（2020）10-0-03

Nursing Effect of Positive Psychology Combined with Rehabilitation Exercise in Patients with Anxiety Disorder and Its Effect on Limb Function/WANG Zhenlan， JIANG Dingwu. //Chinese and Foreign Medical Research， 2020， 18（10）： -179

[Abstract] Objective： To explore the nursing effect of positive psychology combined with rehabilitation exercise in patients with anxiety disorder and its effect on limb function. Method： A total of 150 patients with anxiety disorders admitted to our hospital from March 2018 to June 2019 were randomly divided into two groups. The control group received routine nursing， and the study group received positive psychology combined with rehabilitation exercise. The nursing effect， anxiety and depression， self-care ability， limb motor function and quality of life of the two groups were compared. Result： The total efficiency and ESCA scores of the control group were lower than those of the study group （P<0.05）. The SDS and SAS scores of the control group were higher than those of the study group （P<0.05）. The Fugl-Meyer and WHOQOL-HIV scores of the control group were lower than those of the study group （P<0.05）. Conclusion： Positive psychology combined with rehabilitation exercise nursing for anxiety disorder patients has significant effect， which can effectively improve patients self-care ability， limb motor function and quality of life， and relieve bad mood， so it should be popularized and applied.

[Key words] Anxiety Positive psychology Rehabilitation exercise Limb function Nursing effect

First-authors address： Wuhan Wudong Hospital， Wuhan 430084， China

焦慮症是临床常见的以焦虑情绪为主的神经症，临床表现为紧张恐惧、心烦意乱和躯体不适等症状，还会引起头晕胸闷和神经衰弱等，严重影响患者的睡眠和生活质量[1]。临床多采用药物治疗，但长时间用药会给患者身体造成损伤。研究证明，焦虑症患者采用恰当的护理方式可以有效提高治疗效果和生活质量[2]。本研究分析积极心理联合康复锻炼在焦虑症患者中的护理效果及对肢体功能的影响，报道如下。

1 资料与方法

1.1 一般资料

选取2018年3月-2019年6月笔者所在医院收治的焦虑症患者150例。纳入标准：符合第3版《中国精神障碍分类与诊断标准》中焦虑症的诊断标准。排除标准：（1）严重的重要器官功能病变和恶性肿瘤类疾病;（2）严重认知障碍和全身感染类疾病。随机分为两组，对照组75例，男41例，女34例;年龄31～73岁，平均（52.05±3.61）岁;病程1.5～8.0年，平均（4.75±1.54）年;受教育程度：初中以下32例，高中35例，高中以上8例。研究组75例，男40例，女35例;年龄30～74岁，平均（52.02±3.64）岁;病程1.5～8.0年，平均（4.75±1.54）年;受教育程度：初中以下32例，高中34例，高中以上9例。……