综合性护理干预对脑梗死患者焦虑抑郁及预后的影响

目的 观察综合性护理干预对脑梗死患者焦虑抑郁及预后的影响.方法 选择2011年12月～2012年12月入院治疗的脑梗死患者80例,均经头颅CT或MR确诊,根据护理方法不同分为干预组(综合性护理)和对照组(随机对症护理)各40例,比较两组干预前后SAS评分及SDS评分的变化及预后情况.结果 干预组和对照组的SAS评分及SDS评分均较干预前明显降低,且干预组干预8周后的SAS评分达(42.82±5.64)分,SDS评分达(36.93±3.15)分,均明显低于对照组的SAS评分(49.13±7.16)分及SDS评分(42.12±5.28)分,两组间比较差异有统计学意义(P＜0.05).治疗期间干预组实施综合性护理干预后无效仅3例,对照组无效8例,两组总有效率分别为92.5％、80.0％,差异有统计学意义(P＜0.05).结论 综合性护理干预能明显改善脑梗死患者焦虑抑郁情绪,改善患者的预后,提高疗效,促进疾病的恢复.

The impact of comprehensive nursing intervention on anxiety and depression and prognosis in patients with cerebral infarction

Objective To observe the impact of comprehensive nursing intervention on anxiety, depression and progno sis in patients with cerebral infarction. Methods Eighty cases of patients with cerebral infarction admitted from De cember 2011 to December 2012 were divided into intervention group （integrated care） and control group （random symptomatic care） with 40 cases in each. SAS, SDS scores and prognosis of two groups were compared before and after intervention. Results SAS and SDS scores of the intervention group and the control group were significantly lower than those of before intervention. After intervention for 8 weeks, SAS and SDS scores of the intervention group was 42.82 ±5.64, 42.42 ± 5.28 respectively, significantly lower than those of the control group （SAS score 49.13 ± 7.16 and SDS score 42.12± 5.28）, and the difference between the two groups was statistically significant （P 〈 0.05）. During the im plementation of the comprehensive nursing intervention, there were only 3 patients invalid in intervention group and 8 Cases invalid in the control group. The total effeCtive rates of two groups were 92.5%1 80.0% respectively, and the dif ference was statistically significant （P 〈 0.05）. Conclusion The comprehensive nursing intervention can significantly improve anxiety and depression in patients with cerebral infarction, and improve patients＂ outcome and efficacy, pro mote the recovery of the disease.