高血压脑出血抑郁患者的心理护理效果观察

Observation on psychological nursing effect of hypertensive intracerebral hemorrhage patients with depression

目的观察高血压脑出血抑郁患者的心理护理效果。方法选取2016年1月~2017年1月住院治疗的高血压脑出血抑郁患者80例,采取随机数字表法随机分为对照组和心理干预组,每组40例,比较两组患者干预前后的SDS评分及生活质量各项评分。结果对照组患者干预后的SDS评分为(40.82±12.46)分,心理干预组患者干预后的SDS评分为(35.34±11.82)分,干预后,心理干预组患者的SDS评分显著低于对照组,差异具有统计学意义(P<0.05)。两组患者干预后躯体健康、心理健康、社会功能、物质生活各项评分均较干预前明显升高,且心理干预组干预后躯体健康、心理健康、社会功能、物质生活各项评分明显高于对照组,差异具有统计学意义(t=6.736、5.952、3.286、3.279,P均<0.05)。结论对高血压脑出血抑郁患者在常规对症护理的基础上实施心理护理干预,可以缓解或消除抑郁症状、提高患者的生活质量,从而促进疾病的康复。

Objective To observe the psychological nursing effect of hypertensive cerebral hemorrhage and depression patients. Methods A total of 80 patients with hypertensive intracerebral hemorrhage and depression who were hospitalized from January 2016 to January 2017 were randomly divided into control group and psychological intervention group,with 40 cases in each group. The scores of SDS and quality of life before and after intervention were compared between the two groups. Results The SDS score of the patients in the control group was（40.82±12.46） points after intervention,and the SDS score of the psychological intervention group was（35.34±11.82） points. The SDS score of the psychological intervention group was significantly lower than that of the control group after intervention, and the difference was significant（P〈0.05）. The scores of physical health, mental health, social function and material life of the two groups after intervention were significantly higher than those before intervention. And the scores of physical health, mental health, social function and material life of the psychological intervention group after intervention were significantly higher than those in the control group, and the difference was statistically significant（t=6.736, 5.952, 3.286, 3.279, P all0.05）.Conclusion Implementation of heart care intervention based on the routine symptomatic care in patients with hypertensive cerebral hemorrhage and depression can relieve or eliminate depressive symptoms, improve the quality of life of patients, so as to promote the rehabilitation of the disease.