护理干预对脑梗死后抑郁患者日常生活能力恢复的效果评价

Evaluation on effect of nursing intervention on recovery of activities of daily living in patients with depression after cerebral infarction

目的探讨护理干预对脑梗死后抑郁患者日常生活能力恢复的效果。方法 60例脑梗死后抑郁症状患者,根据病房区域划分为对照组(一区患者,27例)和观察组(二、三区患者,33例)。对照组给予常规护理。观察组在常规护理基础上进行护理干预。比较两组患者干预前后的抑郁自评量表(SDS)评分、美国国立卫生研究院卒中量表(NIHSS)评分及Barthel指数(BI)评分。结果干预前,两组患者的SDS评分、NIHSS评分、BI评分比较差异无统计学意义(P>0.05)。干预后8周,观察组与对照组SDS评分分别为(48.49±3.67)、(58.23±4.23)分,NIHSS评分分别为(2.11±0.47)、(4.23±0.65)分,BI评分分别为(86.54±9.75)、(77.68±10.29)分,两组患者的SDS评分、NIHSS评分、BI评分比较差异均具有统计学意义(P<0.05)。结论通过对脑梗死患者进行护理干预,可有效提高患者的神经功能及日常生活活动能力。

Objective To investigate the effect of nursing intervention on recovery of activities of daily living in patients with depression after cerebral infarction.Methods A total of 60 patients with depression after cerebral infarction were divided into control group（zone 1,27 cases） and observation group（zone 2 and 3,33 cases） according to different ward zone.The control group received conventional nursing,and the observation group received nursing intervention on the basis of conventional nursing.The self-rating depression scale（SDS） score,national institutes of health stroke scale（NIHSS） score and Barthel index（BI） score before and after intervention between the two groups.Results Before intervention,there were no statistically significant differences in SDS score,NIHSS score and BI score between the two groups（P〈0. 05）.After 8 weeks of intervention,the SDS score of observation group and control group were（48.49±3.67） scores and（58.23±4.23） scores respectively,the NIHSS score were（2.11±0.47） scores and（4.23±0.65） scores respectively,and BI score were（86.54±9.75） scores and（77.68±10.29） scores respectively.There were statistically significant differences in SDS score,NIHSS score and BI score between the two groups（P〈0. 05）.Conclusion Nursing intervention for patients with cerebral infarction can effectively improve the neurologic function and activity of daily living.