认知护理在脑梗死后抑郁症患者护理中的应用研究

Application research of cognitive nursing in patients with depression after cerebral infarction

目的探讨认知护理干预对脑卒中后抑郁症患者神经和认知功能的影响。方法选取2010年12月~2014年6月我院中医科收治的120例患者随机分为两组各60例,对照组采取常规护理,观察组在此基础上配合认知护理,比较两组患者在护理前后HAMD、SDS、HAMA、Barthel积分的变化情况。结果治疗组在认知护理干预后平均HAMD、SDS和HAMA积分较治疗前和对照组明显降低（P〈0.05）;两组患者的Barthel积分比认知护理干预前有明显升高（P〈0.05）,但组间比较差异无统计学意义（P〉0.05）。治疗组总有效率为90.0%,与对照组（78.3%）比较差异有统计学意义（P〈0.05）。结论认知护理干预能明显改善PSD患者心理状态,抑郁症状,促进神经功能恢复,值得推广应用。

Objective To study the effect of nerve and cognitive function of cognitive nursing intervention in patients with post-stroke depression. Methods 120 patients with depression after cerebral infarction were divided into control group which was adopted by routine nursing and observation group which was adopted by cognitive nursing based on routine nursing. To compare the integral changes of HAMD, SDS, HAMA, Barthel pre and post nursing between the two groups. Results The average integral of HAMD, SDS, HAMA in observation group after cognitive nursing intervention were obviously decreased than which before treatment, and which in observation group were obviously decreased than which in control group（P〈0.05）. The integral of Barthel after cognitive nursing intervention between the two groups were obviously increased than which before nursing intervention（P〈0.05）, while the differences between the two groups was no statistical significance（P〉0.05）. The differences of total effective rate was statistical significance compared with observation group（90.0%） and control group（78.3%）（P〈0.05）. Conclusion Cognitive nursing intervention could obviously improve the psychological state and depressive symptoms in patients PSD, could promote neural functional recovery, is worthy of clinical application.