心理护理对脑卒中后焦虑、抑郁患者预后的影响

目的 探讨心理护理对脑卒中后焦虑、抑郁患者预后的影响及其临床意义.方法 将102名脑卒中患者随机分为对照组53例,干预组49例.两组均采取脑卒中后常规治疗和护理,同时干预组实施心理护理.在治疗前,治疗后1个月,治疗后6个月分别对两组患者进行综合医院焦虑抑郁量表(HADS),改良爱丁堡斯堪的那维亚卒中量表(MESSS)评定.结果 治疗前,焦虑抑郁评分干预组明显高于对照组(P＜0.05),余无明显差异(P＞0.05).1个月后,焦虑抑郁评分和卒中量表评分两组差异无显著性(P＞0.05).6个月后,卒中量表评分,干预组明显低于对照组(P＜0.05),余差异无显著性(P＞0.05).结论 心理护理不仅明显改善脑卒中后焦虑和抑郁状态,同时对神经功能的恢复有积极的促进作用.

Effect of psychological nursing on the post-stroke patients with anxiety and depression

Objective To approach the influence to prognosis and clinical contribution of psychic nurs-ing for the post-stroke patients suffering from anxiety and depression. Methods 102 patients with cerebral ape-piety were randomly assigned to the control group (n =53) and the experiment group (n =49) . Both groups were received conventional post-stroke treatment and nursing, at the same time the psychic nursing was given to the experiment group. Evaluate both groups with the HADS and MESSS before the treatment, 1 month and 6 months af-ter the treatment. Results Before the treatment, anxious and depressed scores of the experiment group were con-spicuous higher than the control group (P ＜0. 05), others had no conspicuous difference. After 1 month, anxious and depressed scores and stroke scale scores had no conspicuous difference in both groups (P ＞ 0. 05) . After 6 months, stroke scale scores of the experiment group were conspicuous lower than the control group (P ＜ 0. 05), others had no couspicuous difference. Conclusion The psychic nursing obviously improves the post-stroke state of anxiety and depression and has energetic promotion to the recovery of nerve function.