脑卒中病人抑郁状况的调查与分析

Investigation and analysis the status of stroke patients with depression and corresponding nursing strategies

目的 :探讨减少脑卒中后发生抑郁的有效护理措施。方法 :采用Zung氏抑郁自评量表评分及自行设计的问卷 ,对 12 6例脑卒中病人抑郁状况及产生原因进行调查 ,然后对抑郁病人采取干预措施。结果 :脑卒中后抑郁发生率为 4 4 .4 %。针对引起抑郁的原因采取干预措施后 ,使抑郁明显好转。结论 :对脑卒中后抑郁的病人采用有效的心理支持及护理措施 ,可消除或减轻抑郁症状 。

Objective: To explore valid nursing measures in reducing post-stroke depression, the study was undertaken to survey and analyze the status and reasons of 126 stroke patients with depression. Methods: The study used Zung's Self-assess Scale and self developed questionnaire to collect the data. Result: The rate of post-stroke depression is 44.4%. The reasons leading to depression include : ①the disability owing to deformity; ②burden on the children; ③the disability of returning to work; ④no guarantee of medical cost; ⑤relapse of the disease; ⑥not enough to care of spouse or children et al. Conclusion: By means of applying holistic nursing to the patients, aiming at the specific reason, using valid mentality support and nursing measures, it could eliminate or lighten the symptom of post-stroke depression, make patients recover early, improve the quality of life of stroke patients.