心理护理联合康复训练对脑卒中后抑郁患者的影响

Influence of psychological nursing combined with rehabilitation training on post-stroke depression

目的:探讨心理护理联合康复训练对脑卒中后抑郁患者的抑郁状态和神经功能的影响。方法:将90例脑卒中后抑郁患者随机分为实验组、对照1组和对照2组,各30例。对照1组接受常规药物治疗(神经内科药物、抗抑郁药)和常规护理,对照2组接受常规药物治疗和常规护理、康复训练,试验组在常规药物治疗和护理、康复训练基础上实施心理护理干预措施。3组患者于干预前后采用汉密尔顿抑郁量表(Hamihon depression scale,HAMD)、Barthel指数(BI)和简化富尔-迈尔评估(Fuglmeyer assessment,FMA)进行评定。结果:干预8周后,实验组的HAMD评分明显低于对照组,而BI和FMA评分明显高于对照组(P均<0.01);实验组的康复疗效较对照2组明显优于对照1组(P<0.01)。结论:心理护理联合康复训练可显著改善脑卒中后抑郁患者的抑郁状态,提高其日常生活能力,促进肢体功能恢复,从而使脑卒中患者的心理与躯体得到全面的康复。

Objective：To explore the effect of psychological nursing combined with rehabilitation training on depressive state and neural function in the patient with post-stroke depression（PSD）.Methods：A tota1 of 90 cases of post-stroke depression were randomly divided into observation group,control group 2 and control group 1,30 cases in each group.All groups received routine drug therapy（neurological and antidepressant drugs） and routine nursing,while the rehabilitation training was added to the control group 2 and the rehabilitation training and psychological nursing were added to the observation group.The Hamihon depression scale（HAMD）,Barthel indexes（BI） and Fuglmeyer assessment（FMA） were used to evaluate all the cases before and after intervention in 3 groups.Results：After 8-week intervention,the HAMD score in the intervention group was markedly lower than that in the two control groups,while the scores of BI and FMA were much higher（all P0.01）.The rehabilitation efficacy of the intervention group was significantly superior to that of the control group 1 as compared with group 2（P0.01）.Conclusion：Psychological nursing combined with rehabilitation training can improve the depressive status,raise the everyday life activity,enhance the recovery of motor function of the limbs,thus obtain the comprehensively recovery of psychology and body in the patients with post-stroke depression.