协同护理对脑卒中后抑郁患者抑郁情绪及生活质量的影响

The effect of collaboration care model on emotion and life quality of patients with post-stroke depression

目的探讨协同护理干预模式(CCM)对脑卒中后抑郁(PSD)患者抑郁及生活质量的影响。方法 60例PSD患者给予CCM护理干预,运用汉密尔顿抑郁量表(HAMD)和SF-36量表分别于入组时和干预第3个月后评估患者的抑郁和生活质量。结果干预后,PSD患者HAMD评分(10.20±4.06)分,低于干预前的(20.38±5.27)分,差异有统计学意义(P<0.01)。干预后PSD患者SF-36量表各维度分数均较干预前提高,除生命力(VT)外,其余各维度评分差异均有统计学意义(P<0.01)。且CCM干预后患者SF-36量表中躯体疼痛(BP)、总健康(GH)、情感角色(RE)、心理健康(MH)维度与中国常模比较差异无统计学意义(P>0.05)。结论协同护理干预措施能有效改善PSD患者的抑郁情绪和生活质量。

Objective To evaluate the effect of collaborative nursing care （CCM） on emotion and life quality of patients with post-stroke depression （PSD）. Methods A total of 60 PSD patients were given nursing intervention based on CCM. The depression level assessed by Hamilton depression rating scale （HAMD） and quality of life assessed by SF-36 before and three month after intervention were compare between two groups. Results The averaged HAMD score of patients after intervention was（ 10.20 ±4.06） and was（20.38 ±5.27） before intervention （P 〈0.01 ）. Score of all dimensions excluding vitality in SF-36 were increased after intervention compared with those before intervention （P 〈 0.01 ）. There was no significant difference in dimension of body pain （BP）, general health （GH）, role emotional （RE） and mental health （MH） between Chinese norm and patients after intervention （ P 〉 0.05 ）. Conclusion Nursing care based on CCM can effectively improve the depressive emotion and quality of life in patients with PSD.