摘要
目的:探讨早期护理干预对中年脑卒中后抑郁患者神经功能恢复的影响。方法:将120例患者随机分为干预组和对照组各60例。对照组给予常规神经内科药物治疗、抗抑郁治疗、控制危险因素、肢体康复指导等常规治疗和护理;干预组在此基础上于患者入院1周内、生命体征平稳条件下给予早期护理干预,包括人文关怀、疾病知识讲解、心理干预、文娱活动指导。比较两组患者治疗前、治疗4周后、治疗12周后汉密尔顿抑郁量表(HAMD)、修订的Barthel指数(MBI)、美国国立卫生研究院卒中量表(NIHSS)评分。结果:干预组进行早期护理干预4周后、12周后HAMD、MBI、NIHSS评分均显著优于对照组(P<0.05)。结论:在常规治疗和护理的基础上采取早期护理干预能够促进中年脑卒中后抑郁患者神经功能的康复。
Objective ： To investigate the impact of early nursing intervention on the rehabilitation of neurological function of the middle - aged stroke patients with depression. Methods ： 120 patients were randomly divided into an intervention group and a control group （ 60 cases for each group ）. The conventional medication, antidepressant treatment, control of risk factors and the guidance on the physical rehabilitation used in the department of neurology were given to the patients in the control group and the patients in the intervention group received early nursing intervention on the condition that the vital signs of the patients were sta- ble within one week when the patients were admitted to hospital, based on the treatment and nursing care in the control group, including humanistic nursing care, explanation of the disease, psychological intervention and recreational activities. The scores of Hamilton Depression Rating Scale （HAMD） , Modified Barthel Index { MBI） and National Institute of Health Stroke Scale （ NIH- SS } were respectively compared between the two groups before the treatment and after the treatment for 4 and 12 weeks. Results： The scores of HAMD, MBI and NIHSS were significantly superior in the intervention group to the control group after the early nursing intervention for 4 and 12 weeks （P 〈 0.05 }. Conclusion： The early nursing intervention, on the basis of the routine treatment and nursing care, can promote the rehabilitation of neurological function of the middle - aged stroke patients with de- pression.
关键词
脑卒中
抑郁
早期护理干预
神经功能
Stroke ~ Depression ~ Early nursing intervention ~ Neurological function
