针对性护理干预脑卒中后抑郁症患者的临床疗效

发布时间：2018-08-12 16:54

【摘要】：目的针对性护理干预脑卒中后抑郁症患者的临床疗效。方法选取2016年哈尔滨医科大学附属第四医院收治的脑卒中后抑郁症患者92例,随机分为常规组和干预组,每组46例。对照组患者给予神经内科常规护理,干预组患者在对照组护理基础上给予针对性护理,护理1个月后评价两组患者临床疗效。比较两组患者护理前后焦虑自评量表(SAS)评分、汉密尔顿抑郁量表(HAMD)评分、Fugl-Meyer运动量表(FMA)评分及Barther指数(BI)评分。结果护理前两组患者SAS评分、HAMD评分比较,差异无统计学意义(P0.05);护理后干预组患者SAS评分、HAMD评分低于常规组(P0.05)。护理前两组患者FMA评分和BI评分比较,差异无统计学意义(P0.05);护理后干预组患者FMA评分和BI评分高于常规组(P0.05)。结论针对性护理干预有助于改善脑卒中后抑郁症患者的焦虑、抑郁情绪,提高患者的运动功能和生活质量。
[Abstract]:Objective to investigate the clinical effect of nursing intervention on patients with post-stroke depression. Methods Ninety-two patients with post-stroke depression were randomly divided into routine group and intervention group with 46 cases in each group. The patients in the control group were given routine nursing in the department of neurology, and the patients in the intervention group were given targeted nursing on the basis of the nursing in the control group. After one month of nursing care, the clinical efficacy of the two groups was evaluated. The (SAS) score, (HAMD) score of Hamilton Depression scale and (FMA) score of Fugl-Meyer exercise scale and (BI) score of Barther index were compared between the two groups before and after nursing. Results there was no significant difference in the SAS score and Hamd score between the two groups before nursing (P0.05), while the SAS score in the intervention group was lower than that in the routine group (P0.05). There was no significant difference in FMA score and BI score between the two groups before nursing (P0.05); the FMA score and BI score in the post-nursing intervention group were higher than those in the routine group (P0.05). Conclusion the targeted nursing intervention can improve the anxiety and depression mood of the patients with post-stroke depression and improve their motor function and quality of life.
【作者单位】：哈尔滨医科大学附属第四医院神经内科;
【分类号】：R473.74

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