护理干预在脑卒中后抑郁状态中的应用研究

The Application of Nursing Intervention in Post-Stroke Depression

目的探讨护理干预在脑卒中后抑郁状态中的护理效果。方法选取符合标准的患者60例,采用随机数字的方法分为观察组和对照组各30例,两组患者均给予药物治疗和常规护理,观察组加用护理干预措施。结果观察组和对照组入组前HAMD-24评分分别为27.60±5.94分和27.48±5.83分,差异无统计学意义(P>0.05);护理干预后,评分分别为8.45±1.53分和13.74±2.62分,但观察组下降更明显(P<0.05)。入组时两组患者SF-36评分无差异(P>0.05),护理干预后两组患者SF-36评分均提高,但观察组增加更明显(P<0.05)。结论脑卒中后抑郁患者实施护理干预,可以有效改善患者抑郁症状,提高患者的生活能力,值得临床推广应用。

Objective To study the efficacy of nursing intervention for patients in post-stroke depression. Methods 60 standard patients were divided randomly into observation group （30 eases） and control group （30 cases） . All patients were given conventional medical treatment and care, observation group with nursing intervention. Results Before nursing intervention, observation group and control group＇s HAMD-24 scores were respectively 27.60＋5.94 and 27.484-5.83, and there was no statistically significant （P〉0.05） ; After that, observation group and control group＇s HAMD-24 scores were respectively 8.45± 1.53 and 13.74±2.62, the observation group decreased more significantly（P〈0.05）. Before nursing intervention, the SF-36 score was no significant difference （P〉0.05） , after that, two groups of patients＇ SF-36 scores were improved, but the observation group increased more pronounced（P〈0.05）. Conclusion Care for patients with post-stroke depression intervention can effectively improve the symptoms of depression and improve the patient＇s life skills, and be worthy of clinical application.