护理干预对急性重症脑卒中患者抑郁情绪及神经康复的影响

Influence of nursing intervention on depressive emotion and neural rehabilitation of patients with acute severe stroke

目的探讨护理干预对急性重症脑卒中患者抑郁情绪及神经康复的影响。方法选择我院2009年2月至2010年11月收治的急性重症脑卒中患者65例，随机分为观察组33例和对照组32例。对照组采用常规护理，观察组在对照组的基础上加强心理及行为干预，比较2组患者的恢复情况。结果护理后，观察组的汉密尔顿抑郁量表、神经功能缺损评分量表及日常生活活动能力评分分别为（12．15±3．31），（17．65±5．47）和（51．79±7．20）分，均明显优于对照组的（18．26±3．82），（26．30±4．63）和（40．52±3．91）分。结论护理干预可以改善急性重症脑卒中患者的抑郁情绪，有利于患者的康复。

Objective To evaluate the influence of nursing intervention on depressive emotion and neural rehabilitation of acute severe stroke patients. Methods From February 2009 to November 2010, 65 patients with acute severe stroke in our hospital were randomly divided into the observation group（33 patients） and the control group（32 patients）, the control group received routine care, the observation group strengthened psychological and behavioral interventions on the basis of routine care, the recovery condition of two groups was compared. Results After nursing, the Hamilton Depression Rating Scale, neurological deficit scores and activities of daily living scale scores of the observation group were （12.15±3.31）, （17.65± 5.47）, （51.79±7.20）, significantly better than （18.26±3.82）, （26.30±4.63）, （40.52±3.91） of the control group. Conclusions Nursing intervention can improve depressive emotion of acute severe stroke patients, and conducive to the rehabilitation of patients.