脑梗死后抑郁症患者实施特殊护理的临床疗效观察

CLINICAL EFFECT OF SPECIAL CARE ON PATIENTS WITH PSD

目的观察特殊护理对脑梗死后抑郁症(PSD)患者的临床疗效。方法将30例脑梗死后抑郁症患者随机分为干预组(18例)和对照组(12例),在常规临床治疗基础上对照组给予常规护理,干预组针对PSD临床特点采用神经科专项护理与精神科专项护理相结合的特殊护理措施,在研究各阶段(1、2、3个月)分别使用汉密尔顿抑郁量表(HAMD)和斯堪的那维亚神经功能缺损评分量表(SSS)对二组患者的抑郁症状和神经系统功能缺损进行组内组间评定对比。结果研究结束时二组患者HAMD和SSS与入组比较均出现改善(P<0.01),但干预组改善时间明显早于对照组,同时各阶段改善程度优于对照组(P<0.01)。结论对PSD患者实施特殊护理能显著促进患者神经系统缺损及抑郁症状的恢复。

Objective To observe clinical effect of special care on patients with PSD. Methods Totally 30 patients with PSD were divided into intervention group （18 cases） and control group （12 cases）, the control group carried out conventional nursing on base of conventional clinical care, the interven- tion group carried out special nursing measures which neurologist special nursing combined with spe- cial psychiatric nursing. Depressive symptoms and nervous system function defect were evaluated and contrasted between two groups by HAMD and SSS at each stage （1, 2, 3 months, respectively）. Re- sults There were significantly differences in two groups on HAMD and SSS at the end of study com- pared with beginning（P〈0.01）. But the time of improvement between two groups were significantly differences. The degree of improvement in intervention group was superior to control group （P〈0.01）. Conclusion Special nursing measures can improve significantly restore of the nervous system defects and depression to patients with PSD.