作　　者： (安廷叶）;

机构地区： 河南省鹤壁市中医院脑病科，鹤壁458030

出　　处： 《光明中医》 2017年第14期2104-2106,共3页

摘　　要： 目的探讨对脑卒中后抑郁症患者实施综合护理干预的应用效果。方法选取2014年7月—2016年7月我院收治的90例脑卒中后抑郁症患者,随机分为观察组和对照组,每组45例,对照组患者采用常规护理干预,观察组患者积极开展综合护理干预,比较观察两组患者的抑郁状况、神经、运动及日常生活功能改善情况等。结果护理后,观察组患者的HAMD、SDS评分降低程度均显著优于对照组,组间比较差异有统计学意义(t=12.3458、3.1078,均P<0.01);观察组各项指标(NIHSS、FMA及MBI评分)改善程度均优于对照组,组间比较差异有统计学意义((t=14.3466、24.1542、25.5964,均P<0.01)。结论在治疗的过程中,对脑卒中后抑郁症患者积极开展综合护理,能够有效改善患者的抑郁状况,减少神经功能缺损,提高运动及日常生活能力,值得临床推广。 Objective To investigate the effect of comprehensive nursing intervention on patients with post-stroke depression. Methods 90 cases of patients with post-stroke depression from July 2014 to July 2016 in our hospital were randomly divided into observation group and control group,with 45 cases in each group. The control group was treated with routine nursing intervention. Patients in the observation group used comprehensive nursing intervention. The improvement on depression,nerve,movement and quality of life was compared. Results After nursing,HAMD and SDS of the observation group were lower significantly than those of the control group,and there were significant differences between the groups（ t = 12. 3458,3. 1078,P 〈0. 01）. The indicators of the observation group（ NIHSS,FMA and MBI scores）were more improved than the control group,and there were significant differences between the groups（（ t = 14. 3466,24. 1542,25. 5964,P 〈0. 01）. Conclusion In the treatment process,actively comprehensive nursing care can effectively improve the depression status of patients,reduce the nerve function defect of patients,and improve the patient＇s movement and the ability of daily life,which is worthy of clinical promotion.

关 键 词： 脑卒中 护理 抑郁症