基于心理疏导护理的针刺疗法治疗脑卒中后抑郁

Acupuncture treatment based on psychological counseling care on depression after stroke

目的研究基于心理疏导护理的针刺疗法治疗脑卒中后抑郁的疗效。方法将确诊为脑卒中后抑郁的90例患者随机分为2组,治疗组45例,给予针刺治疗联合相应心理疏导护理,对照组45例,给予针刺治疗联合常规护理,观察2组在治疗前及治疗后4、8周的汉密尔顿(HAMD)抑郁量表评分变化。结果治疗8周后,治疗组总有效率为91.1%,对照组总有效率为73.3%(P<0.05)。2组在治疗后4、8周HAMD量表积分进行比较均有统计学意义(P<0.05)。结论基于心理疏导护理的针刺疗法能有效治疗脑卒中后的抑郁状态,提高患者生活质量,改善脑卒中后的抑郁状态。

Objective To observe the effect of acupuncture and psychological counseling on Patients with Post-Stroke Depression. Methods The 90 cases of Post- Stroke Depression patients were randomly divided into 2 groups. 45 cases of treatment group were treated with acupuncture and psychological counseling care. 45 cases of control group were given acupuncture and Conventional nursing. Hamilton Rating Scale for Depression（ HAMD） was used for both 2groups before treatment,week 4 and 8,observing the changes of two groups. Results After 8 weeks treatment,the total effective rate of the treatment group and control group were 91. 1% and 73. 3%. respectively. HAMD scale showed significant difference between the treatment group and the control group（ P〈0. 01）. Conclusion Acupuncture and psychological counseling treatment was an effective nursing intervention to improve the patients＇ quality of life.