心理护理对老年脑卒中后抑郁患者康复作用的研究

Study on the Role of Mental Nursing on the Rehabilitation of the Aging Post-stroke Depression

目的:探讨心理护理对老年脑卒中后抑郁患者康复的作用。方法:对98例脑卒中后抑郁的老年患者随机分为两组:治疗组和对照组,每组49例,并对治疗组在常规护理治疗的基础上给予相应的心理护理干预措施,而对照组仅给予常规治疗及护理。用汉密尔顿抑郁量表(HAMD)和Barthel日常生活活动能力(ADL)指数进行客观疗效评定。并于治疗前及治疗后第1、4、8、12周进行疗效评定。结果:治疗组和对照组之间的HAMD评分在治疗前差异无统计学意义(P>0.05);治疗后1周末未发现差别,于治疗后4、8、12周末治疗组均低于对照组,统计学分析差异有统计学意义(P<0.05)。治疗组和对照组之间的Barthel日常生活活动能力(ADL)指数在治疗前并无差别(P>0.05);治疗后1周末未发现差别,治疗后4、8、12周治疗组明显高于对照组,统计学分析差异有统计学意义。结论:心理护理可以改善老年人脑卒中后抑郁状态,缩短心理障碍的病程,促进肢体功能康复,从而减轻了残疾程度,提高了老年脑卒中患者的生活质量。

Objective： To analyze the the role of mental nursing on the rehabilitation of the aging post- stroke depression. Methods： 98 aging patients with post - stroke depression were divided randomly into treat- ment and control groups. 49 patients in treatment group were cared by routine nursing and corresponding post- stroke depression mental nursing while the treatment group were cared only by routine nursing. The efficacy were assessed by Hamilton Depression （MD）Scale .and Barthel＇ s Activities of daily living （ADL） index be- fore and 1, 4, 8, 12 days after treatment. Results： There was no significant difference between the two groups on the HAMD score before treatment（ P 〉0.05）. The HAMD score of the treatment group was significantly lower than the control 4, 8, 12 weeks after treatment （P 〈 0.05）. There was no significant difference between the two groups on the Barthel＇ s i^ff）L index before treatment（P 〉0.05）. Barthel＇ s ADL index of the treatment group was significantly higher than the control 4, 8, 12 weeks after treatment （P 〈 0.05）. Conclusion： Mental nurs- ing could ameliorate the aging post - stroke depression, shorten the time of post - stroke depression and improve physical functional rehabilitation. Thereby, mental nursing can relieve the degree of disability and improve the life quality of the aging cerebral apoplexy.