护理干预对卒中后抑郁病人神经功能和生活质量的影响

[目的]观察护理干预对卒中后抑郁(PSD)病人神经功能和生活质量的影响。[方法]将76例PSD病人随机分为对照组和观察组,每组38例,两组病人均给予脑卒中常规治疗,对照组采用常规护理,观察组在常规护理基础上进行针对性护理干预。在干预前、干预4周后,采用改良爱丁堡-斯堪的那维亚脑卒中评分量表(MESSS)、日常生活能力Barthel指数(BI)、HAMD量表和中文版简明健康状况量表(SF-36)对所有病人进行评分和问卷调查。[结果]两组病人干预后MESSS、BI、HAMD和SF-36各维度评分均优于干预前,观察组病人干预后MESSS、BI、HAMD和SF-36各维度评分均优于对照组。[结论]护理干预能有效改善PSD病人的神经功能缺损和生活质量。

Influence of nursing intervention on neurological function and quality of life of patients with post- stroke depression

To observe the influence of nursing intervention on neurological function and quality of life of patients with post - stroke de- pression （PSD）. Methods：A total of 76 cases with simple mechanical in- testinal obstruction were randomly divided into observation group and control group, 38 cases in each, two groups of patients received routine treatment, moreover, control group patients accepted routine nursing, be- sides that the observation group received targeted nursing intervention. Edinburgh- Scandinavia stroke scale （MESSS）, Barthel index （BI）, Hamilton Depression Scale （HAMD） and SF - 36 simplified life quality questionnaire were used for all patients before intervention and after 4 weeks intervention. Results：The scores of all dimensions of MESSS, BI, HAMD and SF - 36 after intervention in two groups were better than that before intervention （P~0.01）, Conclusion. Nursing intervention can effectively improve the neurological deficits and quality of life of patients with PSD.