脑卒中后抑郁的心理干预

The Psychological Intervention on Post-stroke Depression of Patients

目的探讨采用康复心理护理干预对脑卒中后抑郁病人的抑郁症状缓解的影响。方法对74例入选病例采用完全随机分组法分为心理干预组和对照组,每组各37例,两组患者均采用神经内科常规治疗和护理,心理干预组加用规范的心理干预,对照组常规心理干预。采用汉密尔顿抑郁量表(HAMD)于治疗前及治疗后第3、6周末进行疗效评定。结果心理干预组和对照组治疗后第3、6周末抑郁分值比较有显著性差异(t=7.56,8.53,P<0.01)。结论积极规范的康复心理护理干预能明显改善脑卒中后抑郁病人的心理障碍,有助于病人的全面康复。

Objective To explore the effect of rehabilitation nursing intervention on post-stroke depression of patients in the remission.Methods A total of 74 patients were divided into psychological intervention group and control group,using a completely randomized grouping method,37 cases in each group.Two groups of patients were both treated with routine therapy and nursing care in department of neurology,psychological intervention group with standardized psychological intervention,the control group routine psychological intervention.Using the Hamilton Depression Rating Scale（HAMD）to evaluate the efficacy before treatment and after treatment on third,sixth weekend.Results There were significant differences in depression between two groups after treatment on third,sixth weekend（t=7.56,8.53;P0.01）.Conclusion Active rehabilitation and psychological nursing intervention can significantly improve post-stroke depression of patients,and contribute to the patients＇ comprehensive rehabilitation.