强化社会及家庭支持对脑梗死后抑郁病人心理状态及日常生活能力的影响

Effect of strengthening social and family support on the psychological state and activity of daily living in patients with depression after cerebral infarction

目的:探讨强化社会及家庭支持对脑梗死后抑郁病人心理状态及日常生活能力的影响。方法:选择118例脑梗死后抑郁病人为研究对象,采用随机数字表法分为观察组和对照组各59例,对照组实施常规护理,观察组在常规护理的基础上给予强化社会及家庭支持干预。比较2组心理状态、神经功能、日常生活能力、临床疗效。结果:观察组有效率89.83%,高于对照组的74.58%(P<0.05);干预后,2组病人焦虑自评量表评分、抑郁自评量表评分、神经功能缺损程度评分均明显降低(P<0.01),且观察组降低幅度大于对照组(P<0.01);2组病人Barthel指数评分均明显上升(P<0.01),且观察组的上升幅度大于对照组(P<0.01)。结论:强化社会及家庭支持能改善脑梗死后抑郁病人不良心理状态,降低神经功能缺损,提高病人的日常生活能力。

Objective: To investigate the effects of strengthening social and family support on the psychological state and activity of daily living in patients with depression after cerebral infarction. Methods: A total of 118 patients with depression after cerebral infarction were randomly divided into the observation group and control group according to the random number table method( 59 cases each group). The control group were implemented using routine nursing,and the observation group were implemented with strengthening social and family support intervention. The psychological state,neurological function,activity of daily living and clinical efficacy between two groups were compared. Results: The effective rate in observation group( 89. 83%) was higher than that in control group( 74. 58%)( P < 0. 05). After intervention,the scores of SAS,SDS and NIHSS significantly decreased in two groups( P < 0. 01),and the decreasing degree of which in observation group was more than that in control group( P < 0. 01). After intervention,the score of Barthel index significantly increased in two groups( P < 0. 01),and the increasing degree of which in observation group was more than that in control group( P < 0. 01). Conclusions: Strengthening social and family support can improve the adverse psychological state,reduce the neurological deficit and enhance the activity of daily living in patients with depression after cerebral infarction.