心理护理对脑卒中抑郁症患者接受康复干预及其疗效的影响

Effect of psychological nursing on the rehabilitation of post-stroke depression

目的:观察心理护理对脑卒中抑郁症(poststrokedepression,PSD)患者康复疗效的影响。方法:100例符合PSD多模式方法诊断(multimodelapproachtodiagnosisofPSD,MMADD)中抑郁调查表(beckdepressioninventory,BDI)和汉密顿抑郁评定量表(Hamiltonrationscalefordepression,HRSD)标准确诊脑卒中抑郁症患者随机分成两组,心理护理组在进行康复治疗的同时辅加心理护理,对照组只进行康复治疗,两组治疗前后分别进行1次MMADD和功能独立检查(FIM)。结果:两组患者经6周康复治疗后,心理护理组及对照组患者功能独立检查评分均提高,心理护理组为(82.45±17.49)分,对照组为(71.71±15.56)分,两者比较差异有显著性意义(t=3.244,P<0.01);心理护理组抑郁状态明显改善,MMADD内心症状评分下降,对照组MMADD内心症状评分无明显改善,治疗后组间比较差异有显著性意义(P<0.01)。结论:心理护理对脑卒中抑郁症患者康复疗效有明显影响,对提高患者自信心,促进全面康复起重要作用。

AIM:To investigate the effect of psychological nursing on the rehabilitation o f post-stroke depression(PSD). METHODS:One hundred patients diagnosed by beck depression inventory(BDI) and H amilton ration scale for depression(HRDS) of multimodel approach to diagnosis of PSD(MMADD) as PSD were equally randomized into psychological nursing group(reha bilitation therapy+psychological nursing) and control group(rehabilitation ther apy).Both two groups were examined by MMADD and functional independent measureme nt(FIM) before and after treatment. RESULTS:After 6-week rehabilitation therapy,the scores in FIM of both two gro ups were increased,which were 82.45±17.49 in the physiological nursing group an d 71.71±15.56 in the control group,and there were significant differences(t=3.2 44,P< 0.01);the scores in MMADD of the psychological nursing group were decreas ed with significant difference from the control group(P< 0.01). CONCLUSION:Psychological nursing is obviously effective in the recovery of PSD patients.It plays an important role in increasing the self-confidence and impr oving rehabilitation of PSD patients