连续心理护理干预在青年脑卒中后抑郁患者中的效果评价

Effect of continuous psychological nursing intervention in young patients with post-stroke depression

目的探讨连续心理护理干预在青年脑卒中后抑郁患者中的效果。方法选取住院治疗的青年脑卒中后抑郁患者217例,随机分为研究组109例、对照组108例,两组患者均给予治疗原发病和康复训练,研究组在此基础上实施连续性的心理护理干预。出院1年后对两组青年脑卒中后抑郁患者的抑郁程度(HAMD评分)、日常生活能力状况(ADL评分)进行比较。结果两组患者基线时HAMD、ADL评分,无统计学差异(P均>0.05)。出院随访1年时研究组青年脑卒中后抑郁患者HAMD、ADL评分分别为(10.22±3.77)分、(18.42±3.64)分,对照组患者HAMD、ADL评分分别为(26.84±4.01)分、(38.35±8.63)分,研究组HAMD、ADL评分较对照组明显下降,差异有统计学意义(P<0.05)。结论有针对性的连续心理护理,促进了青年脑卒中后抑郁患者日常生活质量的恢复,也减轻了其抑郁程度。

Objective To investigate the effect of continuous psychological nursing intervention in young patients with post-stroke depression （PSD）. Methods The patients （n=217） were randomly divided into research group （n=109） and control group （n=108）, and they were given treatment of original disease and rehabilitation training. The research group was additionally given continuous psychological nursing intervention. After discharging from hospital for 1 year, HAMD scoring and ADL scoring were compared between 2 groups. Results The scores of HAMD and ADL had no statistical difference on baseline between 2 groups （P〉0.05）. After follow-up for 1 year, scores of HAMD and ADL were respectively （10.22±3.77） and （18.42±3.64） in research group, which were significantly lower than those in control group （26.84±4.01） and （38.35±8.63, P〈0.05）. Conclusion Targeted continuous psychological nursing can improve the quality of daily living and relieve depression severity in young patients with PSD.