共情護理干預對缺血性腦卒中合并糖尿病老年患者心理狀態的影響分析

【摘要】 目的：分析共情護理干預對缺血性腦卒中合并糖尿病老年患者心理狀態的影響。方法：選取2021年1月—2022年12月蘇北人民醫院收治的缺血性腦卒中合并糖尿病老年患者106例，以2022年1月為節點，在此之前（2021年1—12月）收治的患者納入對照組，在此之后（2022年1—12月）收治的患者納入觀察組，兩組分別納入患者53例。對照組給予常規護理干預，觀察組以此為基礎給予共情護理干預。對比兩組心理狀態評分、神經功能及血糖指標。結果：干預后，兩組漢密爾頓焦慮量表（HAMA）、漢密爾頓抑郁量表（HAMD）、美國國立衛生研究院卒中量表（NIHSS）評分均較干預前降低，且觀察組均低于對照組，兩組五因素正念度量表（FFMQ）、Fugl-Meyer評定量表（FMA）、Barthel指數（BI）評分均較治療前升高，且觀察組均高于對照組（Plt;0.05）。干預前，兩組血糖指標比較，差異均無統計學意義（Pgt;0.05）；干預后，兩組血糖指標均較治療前降低，且觀察組均低于對照組（Plt;0.05）。結論：在缺血性腦卒中合并糖尿病老年患者護理中應用共情護理可有效降低患者焦慮、抑郁負面情緒產生，同時提高患者正念水平，利于提高患者神經功能和控制血糖。

【關鍵詞】 共情護理干預 缺血性腦卒中 糖尿病 心理狀態

Analysis of Influence of Empathic Nursing Intervention on Mental State of Elderly Patients with Ischemic Stroke and Diabetes Mellitus/LIU Ling， ZHUANG Wenjing. //Medical Innovation of China， 2023， 20（31）： -108

[Abstract] Objective： To analyze the influence of empathic nursing intervention on the mental state of elderly patients with ischemic stroke and diabetes mellitus. Method： A total of 106 elderly patients with ischemic stroke and diabetes mellitus admitted to Subei People's Hospital from January 2021 to December 2022 were selected. With January 2022 as the node， patients admitted before （January to December 2021） were included in the control group， and patients admitted after （January to December 2022） were included in the observation group， a total of 53 patients were included in the two groups respectively. The control group was given routine nursing intervention， and the observation group was given empathic nursing intervention on this basis. The mental state score， neurological function and blood glucose indexes were compared in the two groups. Result： After intervention， the scores of Hamilton anxiety scale （HAMA）， Hamilton depression scale （HAMD） and national institute of health stroke scale （NIHSS） of the two groups were lower than those before intervention， and those of the observation group were lower than those of the control group， the scores of five-factor mindfulness questionnaire （FFMQ）， Fugl-Meyer assessment scale （FMA） and Barthel index （BI） scores of the two groups were higher than those before intervention， and those of the observation group were higher than those of the control group （Plt;0.05）. Before intervention， there was no statistically significant difference in blood glucose indexes between the two groups （Pgt;0.05）; after intervention， the blood glucose indexes of the two groups were lower than those before treatment， and those of the observation group were lower than those of the control group （Plt;0.05）. Conclusion： The application of empathy nursing in the nursing of patients elderly patients with ischemic stroke combined with diabetes mellitus can effectively reduce the negative emotions of anxiety and depression， and improve the level of mindfulness of patients， which is conducive to improving the recovery of neurological function and blood sugar control of patients.

[Key words] Empathic nursing intervention Ischemic stroke Diabetes mellitus Mental state

First-author's address： Subei People's Hospital， Jiangsu Province， Yangzhou 225000， China

doi：10.3969/j.issn.1674-4985.2023.31.024

糖尿病為臨床常見的以糖代謝異常為主要表現的代謝異常疾病，患者長期處于一種高血糖狀態，極易引起多組織、臟器的功能衰竭。高血糖狀態可對患者血管、血液循環產生嚴重影響，進而易誘發患者缺血性腦卒中[1-2]。而糖尿病、缺血性腦卒中均發病的患者治療難度及護理難度均提高，患者由于糖尿病需限制飲食，對其生活質量存在一定的影響，長期作用下患者極易產生抑郁、生活失去信心等負面心理；……