系统性护理对脑卒中后抑郁病人神经功能康复的影响分析

Analysis of impact of systemic nursing on rehabilitation of neurological function of patients with post-stroke depression

目的讨论研究系统性护理干预对脑卒中后抑郁病人神经功能康复的临床疗效与影响。方法选取我院神经内科确诊的脑卒中抑郁病人100例,随机分为护理组与常规组。常规组患者进行常规护理干预;护理组患者在常规护理基础上进行系统性护理干预。比较两组患者经不同程度护理后神经功能缺损评分、日常功能恢复程度以及Hamilton抑郁量表评分等指标。结果 Banthel指数评分人数比较显示护理组生活恢复情况显著优于常规组(P<0.05)。护理前后神经功能缺损情况比较显示护理组功能缺损得分显著低于常规组(P<0.05)。HAMD抑郁量表评分人数比较显示系统性护理组无抑郁与轻度抑郁人数显著多于常规组且中度、重度抑郁人数少于常规组(P<0.05)。结论对脑卒中后抑郁病人进行系统性护理干预疗效显著。能够有效改善患者抑郁症状,提高患者治疗依从性,积极配合治疗,有效促进神经功能恢复;帮助患者减轻心理负担、消除不良情绪,克服心理障碍,积极面对疾病,将机体状态调整至最佳水平,促进疾病恢复。系统护理干预能够显著提高疾病治疗效率,改善患者预后,缩短治疗时间,显著提高患者生存质量,帮助患者恢复健康。

Objective ： To discuss and study the clinical effect and impact of systemic nursing intervention on rehabilita- tion of neurological function of patiets with PSD. Methods： 100 patients with PSD were chosen and randomly divided into nursing group and routine group. The routine group was given routine nursing intervention while the nursing group was given systemic nursing intervention on basis of routine group. After different extent of nursing, indicators like NIHSS, recovery degree of daily fuction and Hamilton depression scale of the 2 groups were compared. Results ： On comparison of number of people of Banthel score, recovery condition of llfe of nursing group was obviously superior to that of the control group （ P 〈 0.05）. On comparison of NIHSS, nursing group was obviously lower than routine group （P 〈 0.05 ）. On comparison of Hamilton depression scale, the number of people with slight depression and without depression of nursing group was obvi- ously more than that of the control group, and the number of people with moderate depression and with severe depression was obviously less than that of the control group （ P 〈 0.05 ）. Conclusion ： Systemic nursing intervention has a significant clinical effect for patietns with PSD. It can effectively improve depression symptom, improve compliance of patients and ef- fectively promote rehabilitation of neurological function. It can help patients relieve mental burden, dispel bad moods, over- come mental obstacles, and make them face diseases positively and adjust their body status to the best level, and enhance the recovery of disease, which can obviously improve life qualities of patients and promote health recovery of patients.