Abstract:

Objective To investigate the influence of nursing intervention based on Roy adaption theory on improving mood disorder and neurological deficit in patients with stroke. Methods A total of 82 patients diagnosed with stroke admitted in our hospital from Jun. 2014 to Feb. 2015 were chosen as subjects with two-month nursing intervention, and divided into conventional group and Roy group according to their date of admission. Conventional group received conventional medical care and general rehabilitation exercise, and Roy group added psychological intervention comprehensive care based on Roy adaption theory, including psychological support, cognitive therapy, psychological suggestion, music therapy, etc. Then to compare the scores of Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and Clinical Nerve Function Limitation Score (CNS) between two groups pre/post-nursing intervention. Results There was no significant difference in SAS, SDS, and CNS between conventional group and Roy group before nursing intervention (P >0.05), after nursing intervention, the scores of SAS, SDS, and CNS of the Roy group was significantly lower than those of the conventional group (P <0.05). Conclusion The psychological intervention comprehensive care based on Roy adaption theory can significantly improve stroke patients mood disorder and neurological deficit, which is worth to be popularization.

Key words: Stroke; Roy nursing intervention; Mood disorder; Neurological deficit

摘要：

目的 探究罗伊适应理论护理对卒中患者情绪障碍及神经功能缺损改善的影响。 方法 选择2014年6月-2015年2月我科收治的82例卒中患者为研究对象进行为期两周的护理，按 其入院时间分为常规护理组与罗伊护理组。常规护理组接受常规药物及一般康复锻炼护理，罗伊护 理组在其基础上增加基于罗伊适应理论的心理干预综合护理，包括心理支持、认知疗法、心理暗示、 音乐疗法等。以焦虑自评量表（Self-rating Anxiety Scale，SAS）、抑郁自评量表（Self-rating Depression Scale，SDS）、神经功能缺损程度量表（Clinical Nerve Function Limitation Score，CNS）评分进行护理前后 两组卒中患者情绪障碍及神经功能缺损的比较。 结果 护理干预前两组患者情绪评分（SAS、SDS）与神经功能评分（CNS）比较，差异均无显著 性（P >0.05）；护理干预后，罗伊护理组SAS、SDS及CNS评分显著低于常规护理组（P <0.05），且罗伊 护理组干预前后三项评分差异均有显著性（P <0.05）；常规护理组干预前后三项评分差异无显著性 （P >0.05）。 结论 基于罗伊适应理论的心理干预能显著改善卒中患者情绪障碍及神经功能缺损，值得在临床 推广。

关键词: 卒中; 罗伊护理; 情绪障碍; 神经功能缺损