健康与遗传心理学研究室知识库

随着社会经济的发展，人们生活习惯的改变，生活压力、精神压力的增加，急性脑梗死的发病率也逐年递增，在治疗急性脑梗死的同时应关注应激、焦虑、抑郁等各种伴发的心理状态对治愈疾病的影响。此研究主要分析急性脑梗死患者的心理状况，评价应用积极心理干预脑梗死患者后对疾病治疗与转归的影响。

本次试验中，使用在2021年1月一2022年9月期间在本院进行医治的急性脑梗死病人共80人作为本次研究对象，对其心理状态进行评价，将上述研究对象随机分成两组，即观察组以及对照组，对照组使用常规治疗以及护理的方式进行，观察组在其基础上添加积极心理干预治疗，分析对比两组病人不良心理分数、医治以及转归情况、神经缺损分数、日常生活能力分数、运动功能、生活质量和护理满意情况。其试验中证实，在干预后3个月两组病人焦虑自评以及抑郁自评分数和干预前相比呈现显著减少情况，且观察组降低更加明显，具有差异性(PG＜0.05 )。干预后两组病人美国国立卫生研究院卒中量表评估分数均有不同程度降低，且观察组病人分数下降程度更加明显，具有差异性(P G ＜0.05 )。两组病人运动功能评估分数和日常生活活动能力分数和干预前比较都得到了提升，且观察组病人增加程度明显优于对照组，具有差异性(P G＜ 0.05 )。两组病人生活质量分数和干预前相比具有不同程度改善，且观察组改善程度十分明显，具有差异性 （ P G＜ 0.05 )。观察组中研究对象的总有效率明显大于对照组，两组间比较具有差异性(P G 0.05 )。观察组病人住院满意程度优于对照组，两组间比较具有差异性(t=12.325, P=0.000 )。相关研究结论如下:

1.对急性脑梗死患者应用积极心理干预措施，能显著减轻急性脑梗死患者的焦虑与抑郁等不良心理状态。

2.对急性脑梗死患者应用积极心理干预措施，能显著降低患者神经缺损症状、提高急性脑梗死患者生活质量和运动功能。

3.对急性脑梗死患者应用积极心理干预措施，能明显改善急性脑梗死患者预后。

With the development of society and economy, the change of people's living habits, the increase of life pressure and mental pressure, the incidence of acute cerebral infarction is also increasing year by year. When treating acute cerebral infarction, pay attention to various accompanying diseases such as stress, anxiety and depression. The impact of mental state on curing the disease, this study mainly analyzes the psychological state of patients with acute cerebral infarction, and evaluates the impact of the application of positive psychologica on the treatment and outcome of cerebral infarction patients after intervention.

In this study, 80 patients with acute cerebral infarction admitted to our hospital from January 2021 to September 2022 were collected. The patients with acute cerebral infarction were divided into observation group and control group by random number method. The control group received conventional treatment and routine nursing care. The observation group added positive psychologica intervention on the basis of the control group, and analyzed and compared the adverse psychological score, treatment and outcome, neurological deficit score, daily living ability score, motor function, quality of life and nursing satisfaction of the patients in the two groups. The results showed that 3 months after the intervention, the SDS and SAS scores of the two groups were significantly lower than those before the intervention, and the reduction level in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). After the intervention, the NIHSS scores of both groups decreased, and the decrease was more obvious in the observation group than in the control group, and the difference was statistically significant (P<0.05). The FMAS and MBI scores of the two groups were higher than those before the intervention, and the increase in the observation group was significantly higher than that in the control group, and the difference was statistically significant (P<0.05). The SS一QOL scores of the two groups were significantly improved compared with those before the intervention, and the improvement in the observation group was significantly better than that in the control group, and the difference was statistically significant (P<0.05). The total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). The hospitalization satisfaction of patients in the observation group was significantly higher than that in the control group, and the difference was statistically significant (t=12.325, P=0.000). The main research conclusions are as follows:

1 .Applying positive psychologica intervention measures to patients with acute cerebral infarction can significantly reduce anxiety and depression and other adverse psychological states in patients with acute cerebral infarction.

2. Applying positive psychologica intervention measures to patients with acute cerebral infarction can significantly reduce the positive symptoms of neurological deficits and improve the quality of life and motor function of patients with acute cerebral infarction.

3 .Applying positive psychologica intervention measures to patients with acute cerebral infarction can significantly improve the prognosis of patients with acute cerebral infarction.