邵英勃 　郑海鹰

【摘要】 目的：探討基于应激系统理论的护理对脑卒中创伤后神经功能恢复的干预效果。方法：选取2019年8月-2020年10月本院收治的脑卒中后创伤患者80例，根据随机数字表法将其分为研究组与对照组，每组40例。研究组给予基于应激系统理论的护理干预，对照组给予常规护理干预。于干预前与干预3个月后采用美国国立卫生研究院卒中量表（NIHSS）评价并比较两组神经功能缺损程度，采用成人心理弹性量表（RAS）评价并比较两组抗应激能力，采用领悟社会支持量表（PSSS）评价并比较两组社会支持水平，采用创伤后成长评定量表（PTGI）评价并比较两组创伤后成长水平。于干预前与出院后3个月采用脑卒中专用生活质量量表（SS-QOL）评价并比较两组生活质量。结果：干预3个月后，两组NIHSS评分均较干预前下降，RAS、PSSS评分均较干预前上升（P<0.05）;干预3个月后，研究组NIHSS评分低于对照组，RAS、PSSS评分均高于对照组（P<0.05）。干预3个月后，两组个人力量、人生感悟、自我转变、与他人关系、新的可能性评分及PTGI总分均较干预前上升，且研究组均高于对照组（P<0.05）。出院后3个月，两组SS-QOL评分均较干预前上升，且研究组高于对照组（P<0.05）。结论：基于应激系统理论的护理干预，可提升脑卒中患者抗应激能力、社会支持和创伤后成长水平，并能促进患者神经功能恢复，提高生活质量。

【关键词】 应激系统理论 脑卒中 神经功能 创伤后成长

Intervention Effect of Nursing Care Based on the Theory of Stress System on the Recovery of Neurological Function after Stroke Trauma/SHAO Yingbo， ZHENG Haiying. //Medical Innovation of China， 2021， 18（34）： -105

[Abstract] Objective： To explore the intervention effect of nursing care based on the theory of stress system on the recovery of neurological function after stroke trauma. Method： A total of 80 patients with post-stroke trauma admitted to our hospital from August 2019 to October 2020 were selected. They were divided into study group and control group according to random number table method， with 40 patients in each group. The study group was given nursing intervention based on stress system theory， and the control group was given routine nursing intervention. Before intervention and 3 months after intervention， the national institutes of health stroke scale （NIHSS） was used to evaluate and compare the neurological impairment degree of the two groups， the adult mental resilience scale （RAS） was used to evaluate and compare the anti-stress ability of the two groups， and the perceived social support scale （PSSS） was used to evaluate and compare the social support level of the two groups. post traumatic growth rating scale （PTGI） was used to evaluate and compare the levels of post-traumatic growth between the two groups. The quality of life of the two groups was evaluated by the stroke special quality of life scale （SS-QOL） before intervention and 3 months after discharge. Result： After 3 months of intervention， NIHSS scores in both groups decreased compared with before intervention， while RAS and PSSS scores increased compared with before intervention （P<0.05）. After 3 months of intervention， NIHSS score in the study group was lower than that in the control group， while RAS and PSSS scores were higher than those in the control group （P<0.05）. After 3 months of intervention， personal strength， life perception， self-transformation， relationship with others， new possibility scores and PTGI total score in both groups were higher than those before intervention， and the study group were higher than those of the control group （P<0.05）. 3 months after discharge， SS-QOL score in both groups increased compared with those before intervention， and the study group was higher than the control group （P<0.05）. Conclusion： Nursing intervention based on the theory of stress system can improve the anti-stress ability， social support and post-traumatic growth of stroke patients， and promote the recovery of patients’ neurological function， improve the quality of life.

[Key words] Stress system theory Stroke Neurological function Post-traumatic growth

First-author’s address： Affiliated Hospital of Liaoning University of Traditional Chinese Medicine， Benxi 117000， China

doi：10.3969/j.issn.1674-4985.2021.34.024

脑卒中是由脑血液循环异常引起的一过性或永久性神经功能缺损疾病，好发于中老年群体，多数患者经有效救治均可获得较好的预后，但致残率仍高达80%[1]。……