护理干预对脑卒中后抑郁的临床效果观察

Clinical effect observation of nursing intervention on post-stroke depression

目的:观察护理干预对脑卒中后抑郁(PSD)的临床效果。方法:将56例PSD患者随机分为治疗组和对照组各28例。两组患者均接受神经内科的常见抗抑郁治疗,对照组进行神经内科的常规护理和生活护理,观察组进行综合性的护理干预措施。两组患者在护理干预前及干预后1个月、3个月均进行HAMD评分,日常生活活动能力评定采用Berthel(BL)指数法,肢体运动功能采用Fegl-Meyer运动功能积分法(FMA)评定,并比较两组患者的临床护理效果。结果:两组患者护理干预后1个月和3个月HAMD评分均下降,BL与FMA评分均升高,与护理前比较,差异均有统计学意义(P<0.05),观察组改善情况优于对照组,差异有统计学意义(P<0.05)。观察组总有效率为78.57%高于对照组的46.43%,差异有统计学意义(P<0.05)。结论:综合护理措施可以减轻PSD患者症状,有利于治疗与护理方案的实施,尽快恢复患者的生活能力。

Objective：To observe clinical effect of nursing intervention on post - stroke depression. Methods：56 eases of post - stroke depression （PSD） were randomly divided into observation group and control group ,28 cases in each group. All patients received antidepressant treatment of common neurology, the control group was given conventional care and life care, the observation group was given comprehensive nursing interventions. The two groups of patients in the care of the intervention and after 1 month, 3 months were carried out HAMD score,activities of daily living were assessed with Berthel （BL） index, limb motor function using Fegl - Meyer motor function integration method （FMA） Assessment, compared the two groups of clinical care effectiveness. Results ：The HAMD score of patients in two groups were all descented after nursing intervention one and three months,while the BL and FMA score were higher than before intervention （P〈 0.05） , but the improvement condition in observation group was better than in control group （ P 〈 0.05 ）. The total effective rate of observation group （78.57%） was higher than control group （ 46.43% ） , there was remarkable different （ P 〈 0.05 ）. Conclusion ： Comprehensive care measures ean reduce symptoms of depression, is benefit for treatment and care programs implementation, resume ability of patients to as soon as possible.