心理干预与心理护理对脑卒中后抑郁的作用效果评价

Evaluation of the effect of psychological intervention in patients with depression after stroke

目的探讨心理干预与心理护理对脑卒中后抑郁情绪的作用。方法对178例脑卒中患者随机：分为心理治疗组及对照组，评定并比较两组SDS及其临床疗效。结果脑卒中后急性期抑郁症状发生率为44．9％～48．8％，心理干预组的第三、四、五次SDS≥50的百分比显著低于第一、二次（P〈0．05）。心理干预能显著降低脑卒中患者伴发的抑郁情绪，缩短住院日及提高临床疗效。由专业心理人员进行心理干预和护士实施心理护理，结果有显著性差异。结论脑卒中后的抑郁情绪常见，专业心理干预能显著减轻脑卒中患者伴发的抑郁情绪，并可提高疗效。护理人员应加强心理学知识的学习和积累。

Objective： To study the effects of psychological intervention in patients with depression after stroke. Methods： 178 patients with cerebral stroke were divided into psychotherapy and non-psychotherapy groups. The scores of SDS in quality of life and clinical outcomes between two groups were evaluated. Results： The total incident of depression symptoms in acute period of stroke was 44.9-48.8%. The percentage of SDS ≥50 of the third, forth and fifth in psychotherapy groups were significantly lower than that of the first and second （P 〈0.05）. Psychological intervention obviously decreased the depression emotion in cerebral stroke patients and days in hospital, and improved clinical outcomes. The results of professional psychological persons and nurses taking the same psychotherapy were significantly different. Conclusion： Depression is the common symptom in the patients after stroke. Psychological intervention can obviously decrease depression emotion in patients after stroke and improve clinical outcomes. Nurses should study and accumulate psychological knowledge.