护理干预在防治脑外伤后抑郁发生中的应用效果

Effect analysis of nursing intervention on depression after head injury

目的：探讨导致脑外伤后出现抑郁的临床因素，分析早期护理干预对防止脑外伤后抑郁的临床效果。方法回顾分析2005年1月至2011年6月脑外伤出院患者接受电话随访及Beck-13抑郁自评问卷调查的资料。结果未干预组中无抑郁者142例，轻度抑郁者42例，中度抑郁者22例，重度抑郁者7例；干预组中无抑郁者167例，轻度抑郁者9例，中度抑郁者3例，无重度抑郁者，两组比较差异有统计学意义（ P〈0.05）。结论脑外伤后抑郁的发生直接关系到患者的整体康复，早期护理干预能够降低抑郁的发生，所以，心理护理应贯彻到患者的整个临床治疗中。

Objective To explore the clinical risk of depression after head injury and analyze the clinical effect of early nursing intervention on preventing depression after head injury and prompting the importance of nursing in-tervention to psychological rehabilitation of patients with head injury. Methods The data of telephone follow-up and Beck-13 questionnaire of self rating depressive scale by leaving hospital patients with head injury were analyzed retro-spectively from January 2005 to June 2011. Results In non intervention group there were without depressive in 142 ca-ses, mild depression in 42 cases, moderate depression 22 cases, severe depression in 7 cases. In intervention group there were without depressive in 167 cases, mild depression in 9 cases, moderate depression 3 cases and no severe de-pression. The 2 groups were compared, the difference had statistical significance. Conclusions Depression after head injury had a close bearing on patients＆#39; integral rehabilitation. Early nursing intervention can reduce the incidence of de-pression, so mental nursing should be carried out all the clinical treatment.