脑血管病病人抑郁状况调查及护理对策

为了解脑血管病病人抑郁的相关因素，从而针对性地采取护理对策，减少抑郁的发生，采用CES－D量表、PULSES评定量表和自编问卷，对82例住院和78例出院脑血管病病人抑郁发生率及相关因素进行调查 ，结果显示住院和出院均同人抑郁发生率差异无显著性意义（P＞0．05），而非抑制郁组和抑郁组在功能障碍，疾病认知、家庭社会支持、坚持用药等相关因素方面差异有显著性意义（P＜0．01或P＜0．05），提示加强心理护理，康复训练和健康教育，提供良好的家庭,妈及坚持地预防脑血管病病人抑郁发生有积极意义。

Investigation on the Depressive State of the Patients with Cerebrovascular Diseases and Nursing Measures

In order to study the relative factors for depressive state of the patients with cerebrovascular disease, then pertinently making nursing measures to decrease the occurrence of depression, CES D scale, PULSES functional assessment instrument and self compiling questionnaire were used to analyze the depression incidence and relative factors in 82 in patients and 78 cerebrovascular patients out of hospital. The results showed that there was no significant difference in depression incidence between the in patients and those out of hospital ( P >0.05). However, there was a significant difference in the factors such as function disturbance, disease recognition, family social support and administration between the non depression group and depression group ( P <0.01 or P <0.05). It was suggested that strengthening mental nursing, rehabilitation training and healthy education, providing good family nursing and insisting in stable treatment is beneficial to the prevention of the depressive state of the patients with cerebrovascular disease.