认知护理干预对脑卒中后抑郁症患者神经和认知功能的影响

目的探讨认知护理干预对脑卒中后抑郁症(PSD)患者神经和认知功能的影响。方法选取2012年7月~2013年6月杭州市第七人民医院住院治疗PSD患者84例,随机分为护理干预组和常规护理组,每组各42例。两组患者均常规予以营养保护脑细胞和改善脑部血循环。常规护理组予以常规护理干预,护理干预组予以认知护理干预,疗程均为4周。观察两组患者治疗前后抑郁症状、神经和认知功能的变化。结果干预4周后,汉密尔顿抑郁量表(HAMD)和Zung抑郁自评量表(SDS)评分常规护理组(23.21±4.78)分、(60.12±14.02)分,护理干预组(19.76±4.15)分、(53.61±13.84)分]均低于干预前常规护理组(27.72±4.89)分、(67.24±18.57)分,护理干预组(28.01±5.04)分、(68.02±19.80)分],差异有统计学意义(P<0.05),且护理干预组两个评分值低于常规护理组,差异有统计学意义(P<0.05);同时两组脑卒中神经功能缺损评分量表(CNS)评分常规护理组(16.15±3.37)分,护理干预组(12.05±2.89)分]低于干预前常规护理组(20.82±4.16)分,护理干预组(20.54±4.42)分],差异有统计学意义(P<0.05);简明精神状态检查量表(MMSE)评分常规护理组(20.22±4.83)分,护理干预组(24.34±5.07)分]高于干预前常规护理组(16.15±4.05)分,护理干预组(15.92±4.16)分],差异有统计学意义(P<0.05),且护理干预组CNS评分低于常规护理组,MMSE评分高于常规护理组,差异有统计学意义(P<0.05)。结论认知护理干预能明显改善PSD患者心理状态,改善其抑郁症状,促进患者神经和认知功能的尽早恢复。

Cognitive nursing intervention influence on nerve and cognitive function of post stroke depression

Objective To discuss cognitive nursing intervention influence on nerve and cognitive function of post stroke depression（PSD）. Methods 84 cases of patients with PSD, who were in the Seventh People＇s Hospital of Hangzhou from July 2012 to June 2013, were selected and divided into nursing intervention group and routine nursing group at random with 41 cases in each group. The patients in two groups were given brain cells nutrition and protection, cerebral circulation improvement and etc. The patients in routine nursing group were given routine nursing intervention for 4 weeks, while the patients in nursing intervention group were given cognitive nursing intervention for 4 weeks. The changs of depression symptom and nerve and cognitive function of patients in two groups before and after medical treatment were observed. Results After 4 weeks＇ intervention, HAMD and SDS scores of patients in two groupsroutine nursing group（23.21 ±4.78） scores,（60.12 ±14.02） scores; nursing intervention group（19.76 ±4.15）scores,（53.61±13.84）scores] were lower than these of before intervention routine nursing group（27.72 ±4.89） scores,（67.24±18.57） scores; nursing intervention group（28.01±5.04） scores,（68.02±19.80） scores], the differences were statistically significant（P 0.05）, and HAMD and SDS scores of nursing intervention group were lower than these of routine nursing group, the differences were statistically significant（P 0.05）. Meanwhile, CNS scores of patients in two groupsroutine nursing group（16.15±3.37） scores, nursing intervention group（12.05±2.89） scores] were lower than these of before intervention routine nursing group（20.82±4.16） scores, nursing intervention group（20.54±4.42） scores], MMSE scores routine nursing group（20.22±4.83） scores and（24.34±5.07） scores] were higher than these of before interventionroutine nursing group（16.15±4.05） scores, nursing intervention group（15.92±4.16） scores], the differences were statistically significant（P 0.05）. Conclusion Cognitive nursing intervention can obviously improve the mental status of patients with PSD, the depression symptom and boost the quick recovery of nerve and cognitive function of patients.