心理护理干预对脑卒中后抑郁患者的影响

目的探讨心理护理干预对脑卒中后抑郁患者的影响。方法 180例脑卒中后抑郁患者随机分为观察组和对照组,各90例,对照组接受常规治疗和护理,观察组在此基础上实施心理护理干预,于干预前后采用汉密尔顿抑郁量表(HAMD)、Barthel指数(BI)和简化Fugl-Meyer运动评分(FMA)对两组患者进行评定。结果干预后观察组的HAMD评分明显低于对照组,而BI和FMA评分明显高于对照组(P均0.01);观察组的康复疗效明显优于对照组(P0.01)。结论心理护理干预有助于改善脑卒中后抑郁患者的抑郁状态,提高其日常生活能力,增强其肢体运动功能,提高其康复疗效。

Influence of Psychological Nursing Intervention on Post-stroke Depression

Objeetive To investigate the effect of psychological nursing intervention on post-stroke depression. Methods A total of 180 cases of post-stroke depression were randomly divided into observation group and control group,with 90 cases in each. Both groups received routine therapy and nursing, and the psychological nursing intervention was added to the observation group. HAMD, BI,and FMA were used to evaluate all the cases of the two groups before and after intervention. Results After intervention,the HAMD score was markedly lower in the observation group than in the control group,while the scores of the BI and FMA were much higher（all P〈0.01）. The rehabilitation efficacy of the observation group was superior to that of the control group（P〈0.01）. Conclusion Psychological nursing intervention can improve the depression,ralse the everyday llfe activity and enhance the motor function of the limb in post-stroke depression,thus increasing the rehabilitation effectiveness.