Application Of Three-in-one Psychological Intervention In The Nursing Of Inpatients With Low-aged Stroke Patients

Objective:To study the effect of anxiety, depression, activities of daily living, coping style andhospitalization time of three-in-one psychological intervention in nursing of patients with low-aged strokepatients. To explore a new approach and method for improving the quality of psychological nursing inpatients with low-aged stroke patients.Methods:80cases of low-aged stroke patients who came from a3A level hospital in zheng zhoucity of henan provience,they were hospitalized from December,2010to may,2011. Inclusioncriteria:1.Have disease within a week,all were proved by CT and MRI examination;2.Diagnostic criteria inline with the Chinese Medical Association4th National Cerebrovascular disease Conference in October1995adopted by the various types of cerebrovascular disease;3. All of them are clear consciousness, vitalsigns are stable, without any intellective obstacles, they can be basic communication and complete theassessment of the scale;4.No other system of serious illness;5.All patients were younger than45years of age, primary schools and/or higher education level;6. Volunteer to participate in this study.80cases of low-aged stroke patients were randomly divided into the control group and the experimental group,every group has40cases. The control group were treated with common nursing of nerves medical, theexperimental group were treated with common nursing of nerves medical and three-in-one psychologicalintervention. The three-in-one psychological intervention mainly include①Cognitive therapy:Ellis’s ABC theory is that person’s emotional or behavioral response is not caused by the event itself, but bythe individual cognitive evaluation of this event caused. The study using this theory communicating withthe patients to find the irrational beliefs resulting in negative emotions to the patients, helping them to learnnot all stroke patients will be disabled. Based on the current medical conditions and active rehabilitationexercises,they can minimize the degree of disability and help them identifying and eliminating theunreasonable awareness, reducing or eliminating anxiety and depression.②Behavioral therapy: Behaviorallearning theory believes that psychological barrier is formed by non-performing learning, intervenein the behavior of the learning process can correct the problem behavior. The study using this theory, first,finds out the person’s behavior problems, using feedback relaxation training V2008, patients according toresearchers and the system prompts for the training, learning to relax; Then guidance to encourage patients to take the initiative to complete the daily activities which they can or can be accomplished through theefforts, patients completed the tasks then giving the homemade gifts rewards to strengthen the behavior andgradually improve the daily living skills.③Humanistic Therapy:Psychological barrier is due to the resultof the blocked self-realization. The study using this theory, let them listen with your heart as to find outwhat the patients want to express the hope and the most need to meet the needs of the self realization, Suchas young patients before sicken this is a leading role at the home of pillar, the illness is not able to meetits leading role in the home and emotional problems.Then encourage the family members to meet theneeds of a leading role in his home, making the patients aware of their responsibility in the family andsociety encouraging establish the confidence in conquering the disease. The three-in-one psychologicalintervention uses one-to-one communication combined with hospital’s conditions and patients actualsituation. When entering the hospital, evaluate the general information questionnaire, Self-ratingDepression Scale(SDS), Self-rating Anxiety Scale(SAS), Activity of Daily Living Scale(ADL), CopingStyle Questionnaire(CSQ) by the two groups of patients. When leaving hospital, evaluate the Self-ratingDepression Scale(SDS), Self-rating Anxiety Scale(SAS), Activity of Daily Living Scale(ADL), CopingStyle Questionnaire(CSQ) again and record of the hospitalization time of the two groups. The raw data wasinput into computer, SPSS11.5was used for statistical description and analysis. Anxiety, depression,activities of daily living, coping style and hospitalization time were analyzed by the T-test.Results:①40%of stroke patients with anxiety in the experimental group before the intervention,but17.5%of stroke patients with anxiety after the intervention.40%of stroke patients with anxiety in thecontrol group before the intervention, but37.5%of stroke patients with anxiety after the intervention;40%of stroke patients with depression in the experimental group before the intervention,20%of stroke patientswith depression after the intervention.37.5%of stroke patients with depression in the control group beforethe intervention,32.5%of stroke patients with depression after the intervention.②Compared the controlgroup and the experimental group((?)±S), the value of the anxiety was52.40±7.883、52.70±7.868,depression was51.13±7.793、50.13±7.380, activities of daily living was27.03±12.299、29.08±11.146,the pvalue was greater than0.05,the difference was not statistically significant before the intervention; The valueof the anxiety was43.80±5.854、52.73±7.854, depression was47.73±4.966、50.08±7.230, activities of dailyliving was22.58±7.310、27.35±9.401, the p value was less than0.05,the difference was statistically significant after the intervention.③Compared the two groups themselves, before and after theintervention((?)±S), to the the experimental group,the anxiety was52.40±7.883、43.80±5.854,depressionwas51.13±7.793、47.73±4.966, activities of daily living of the experimental group was27.03±12.299、22.58±7.310, the p value was less than0.05,the difference was statistically significant; But to the controlgroup, the value of the anxiety was52.70±7.868、52.73±7.854,the depression was50.13±7.380、50.08±7.230, activities of daily living of the was29.08±11.146、27.35±9,the p value was greater than0.05,the difference was not statistically significant.④The value((?)±S) of the hospitalization time for theexperimental group and the control group, it was19.93±5.146、23.75±7.564, the p value was less than0.05,the difference was statistically significant.⑤Compared the two groups, before and after theintervention, the p value was greater than0.05,the difference of coping style was not statisticallysignificant.Conclusions:①Three-in-one psychological intervention can alleviate the anxiety and depression,improve activities of daily living and shorten the hospitalization time in low-aged strokepatients.②Three-in-one psychological intervention can not change the coping style in low-aged strokepatients.③To explore a new approach and method for improving the quality of psychological nursing inpatients with low-aged stroke patients, three-in-one psychological intervention can be promoted in theclinical care in low-aged stroke patients.