烟雾病患者卒中后抑郁的护理

Nursing Care of Post-Stroke Depression in Patients with Moyamoya Disease

目的探讨烟雾病患者卒中后抑郁(post-stroke depression,PSD)的护理方法。方法便利抽样法选择2016年2-8月解放军307医院神经外科收治的46例烟雾病PSD患者(轻度抑郁33例,中度抑郁13例)为研究对象,给予入院评估、健康宣教、心理护理及康复指导等有针对性的护理干预措施,3个月后采用汉密尔顿抑郁量表(Hamilton depression rating scale,HDRS)评估其抑郁状态。结果 46例患者干预后的HDRS评分为(9.17±3.37)分,与干预前[(13.76±5.41)分]比较,差异有统计学意义(t=4.88,P<0.01)。结论有效的血管重建手术联合个体化的心理护理和康复指导,能够有效减轻烟雾病PSD患者的抑郁程度,提高患者的生活质量。

Objective To discuss the nursing methods of post-stroke depression（PSD）in patients with moyamoya disease（MMD）.Methods By convenience sampling method,46 MMD patients in the hospital from February to August 2016 were selected（33 cases with mild depression,13 cases with moderate depression）.Patients received admission assessment,health education,psychological nursing and rehabilitation guidance.The severity of depression was assessed by Hamilton depression rating scale（HDRS）.Results The HDRS score after the intervention was（9.17±3.37）,and it was statistically significant compared with the score before intervention（13.76±5.41）（t=4.88,P〈0.01）.Conclusions Revascularization surgery combined with personalized psychological nursing and rehabilitation guidance can effectively reduce the incidence rate of PSD in MMD patients and improve the patients＇ quality of life.