脑卒中后抑郁的康复护理进展

A review about rehabilitation nursing of post-stroke depression

脑卒中患者除有偏瘫、失语等躯体功能障碍外,还常伴有情感障碍。脑卒中后抑郁患者常表情淡漠、反应迟钝、人际关系敏感,严重影响其生活质量。本文从脑卒中后抑郁患者早期护理评估及其后的安全护理、饮食护理、睡眠护理、心理支持、家庭支持、康复护理、出院后延续护理等各个方面对卒中后抑郁的心理康复护理进行综述和评论,并通过对脑卒中后抑郁患者既往的临床研究及综述分析,发现早期心理康复干预不仅可以促进其躯体功能的恢复,更减少了脑卒中患者抑郁的发生。因而,对脑卒中后抑郁的患者实施有效的康复护理干预,减轻抑郁症状及减少脑卒中的复发,提高患者生存质量,已成为脑卒中后抑郁康复护理的关键。

In addition to hemiplegia, aphasia and the physical dysfunction, stroke patients also had cognitive impairment and emotional disorders. Apathy, unresponsive, sensitive interpersonal relationship is common in patients with stroke, which seriously affect the quality of the patients＂ life. This article discusses psychological rehabilitation care of stoke patients from subsequent care, safety care, food care, sleep care, psychological support, family support, rehabilitation care after discharge aspects of care. To collect patients＂ informations about previous clinical analysis and reviews could help to find that early intervention for psychological rehabilitation care of stroke patients is necessary not only to promote physical rehabilitation, but also reduce the incidence of depression. Thus, to implement stroke rehabilitation care is effective reduce depressive symptoms and stroke recurrence.