杵针疗法结合情志护理对中风后抑郁患者生活质量的影响

Effect of Chuzhen therapy combined with emotion nursing on the quality of life of patients with post-stroke depression

目的：探讨杵针疗法结合情志护理对中风后抑郁患者生活质量的影响。方法将120例中风后抑郁患者随机分为对照组（n＝41）、杵针组（n＝39）和杵针情志组（n＝40），3组均给予常规治疗，对照组采用中风护理常规进行干预，杵针组在对照组的基础上加入杵针疗法进行干预，杵针情志组在对照组的基础上加入杵针疗法结合情志护理进行干预。干预前及干预6周后采用脑卒中影响量表（ SIS）对3组患者进行评价。结果干预6周后对照组 SIS 评分（157．73±27．02）分，杵针组为（169．08±24．62）分，杵针情志组为（180．63±23．89）分，3组间干预后比较差异具有统计学意义（F＝8．333，P＜0．01），均与干预前比较差异均有统计学意义（ t值分别为-17．083，-20．812，-29．722；P＜0．01）；杵针情志组的SIS评分高于对照组和杵针组，差异具有统计学意义（ t 值分别为4．08，2．03；P ＜0．05）。结论杵针疗法结合情志护理能够有效改善中风后抑郁患者的生活质量。

Objective To investigate the effects of Chuzhen therapy combined with emotion nursing on the quality of life of patients with post-stroke depression .Methods 120 patients were randomly divided into control group, Chuzhen group and Chuzhen emotion group .Among them, 41 cases in the control group used routine nursing methods;39 cases of Chuzhen group adopted Chuzhen therapy;40 cases of Chuzhen emotion group were intervened on the basis of Chuzhen therapy combined with emotion nursing .All the three groups were evaluated by the Stroke Impact Scale （ SIS） before and after six weeks of treatment .Results The SIS scores after the intervention was （157.73 ±27.02） in the control group, （169.08 ±24.62） in the the Chuzhen groupand （180.63 ±23.89） in the Chuzhen emotion group, which were significantly different （F=8.333,P 〈0.01）.Those scores were also significantly different compared with the scores before the intervention （ t =-17.083, -20.812, -29.722, respectively;P〈0.01）.Compared the SIS scores, the Chuzhen emotion group was significantly better than the others （t=4.08, 2.03, respectively;P〈0.05）.Conclusions For the patients with post-stroke depression ,Chuzhen therapy combined with emotion nursing can improve their quality of life.