心理护理对脑卒中恢复早期伴抑郁障碍患者预后的影响

Influence of Mental Nursing on Cerebral Apoplexy Patients Complicated with Depressive Disorders during Early Convalescence

目的探讨心理护理对脑卒中恢复早期伴抑郁障碍患者预后的影响。方法根据汉密尔顿抑郁量表评分(HAMD)标准,从2002年5月—2005年4月收治的脑卒中恢复早期患者中选出伴抑郁障碍的患者76例,随机分为心理护理组和对照组。对照组采用常规护理;心理护理组采用常规护理的同时进行系统的心理护理。连续观察8周,观察其肢体运动功能(Fugl-M eyer运动功能评定:FMA)、ADL能力(改良巴氏指数:MB I)及HAMD的变化情况。结论电化学发光免疫法是一种工作效率高,检测结果稳定、可靠,灵敏度高的检测仪器。结果心理护理可以促进脑卒中恢复早期伴抑郁障碍患者的康复。

Objective To discuss the influence of mental nursing on the prognosis of cerebral apoplexy patients complicated with depressive disorders during early convalescence. Methods Hamilton depression scale （HAMD） was used in the selection of 76 patients with cerebral apoplexy complicated with depressive disorders during early convalescence, who were hospitalized between May, 2002 and April, 2005. The patients Were at random divided into mental nursing group and control group which were respectively administered routine nursing and additional systematic mental nursing. Successive observation lasted for eight weeks on the aspects of extremity motor function by Fugl-Meyer assessment （ FMA）, activities of daily living （ADL） by modified Barthel index （MBI）, and the changes in HAMD. Results The mental nursing group, which resulted in more obvious effect, differed significantly in FMA, MBI and HAMD from the control group （ P 〈 0.01, or P 〈 0.05）. Conclusion Cerebral apoplexy patients complicated with depressive disorders benefit from mental nursing during early convalescence.