“脑心同治”理论为基础的护理措施在卒中后抑郁患者中的应用

Impact of nursing interventions based on brain-heart synchronization theory in post-stroke depression patients

目的 观察“脑心同治”理论为基础的护理措施对卒中后抑郁患者的影响。方法 选择2021年1月至2022年12月收治的86例脑卒中患者作为研究对象。按随机数字表将其分为研究组和对照组,每组43例。对照组给予常规护理,研究组予以“脑心同治”理论为基础的护理措施。干预前后采用汉密尔顿抑郁量表(Hamilton depression scale, HAMD)和汉密尔顿焦虑量表(Hamilton anxiety scale, HAMA);脑卒中专用生活质量量表(stroke specific quality of life scale, SS-QOL);简易精神状态量表(mini-mental state examiniation, MMSE)评估干预效果。结果 干预前2组患者各项量表评分比较,差异均无统计学意义(P>0.05)。干预后研究组HAMD和HAMA量表评分均低于对照组;研究组SS-QOL量表评分中精力、家庭角色、活动能力、情绪、自理能力、思维、上肢功能、工作及劳动维度评分和总分均高于对照组;研究组MMSE评分高于对照组,差异均有统计学意义(P<0.05)。结论 基于脑心同治理论制订的护理措施可有效缓解卒中后抑郁患者的抑郁、焦虑状态,提高患者生活质量,改善患者认知功能。

Objective This study aimed to evaluate the impact of nursing interventions based on brain-heart synchronization theory in post-stroke depression patients.Methods A total of 86 stroke patients admitted to our hospital between January 2021 and December 2022 were selected as participants.They were randomly assigned to either the study group(n=43)or the control group(n=43).The patients in the control group received conventional nursing,while patients in the study group received nursing interventions based on brain-heart synchronization theory.The Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),Stroke Specific Quality of Life Scale(SS-QOL),and Mini-Mental State Examination(MMSE)were used to assess the intervention effects before and after the interventions.Results There were no significant differences in the scores of the various scales before the interventions between the two groups(P>0.05).However,after the interventions,the study group exhibited significantly lower scores of the HAMD and HAMA scales compared to the control group.Additionally,the study group demonstrated significantly higher dimension scores and overall score of SS-QOL scale like energy,family role,activity,mood,self-care ability,cognition,upper limb function,work compared to the control group.Moreover,the study group showed significantly higher MMSE scores than those of the control group(P<0.05).Conclusion Nursing interventions based on brain-heart synchronization theory have proven effective in reducing depression and anxiety,improving the quality of life,and enhancing cognitive function in post-stroke depression patients.