连续心理护理干预在青年脑卒中后抑郁患者中的效果评价

摘要

Objective To investigate the effect of continuous psychological nursing intervention in young patients with post-stroke depression (PSD). Methods The patients (n=217) were randomly divided into research group (n=109) and control group (n=108), and they were given treatment of original disease and rehabilitation training. The research group was additionally given continuous psychological nursing intervention. After discharging from hospital for 1 year, HAMD scoring and ADL scoring were compared between 2 groups. Results The scores of HAMD and ADL had no statistical difference on baseline between 2 groups (P>0.05). After follow-up for 1 year, scores of HAMD and ADL were respectively (10.22±3.77) and (18.42±3.64) in research group, which were significantly lower than those in control group (26.84±4.01) and (38.35±8.63, P<0.05). Conclusion Targeted continuous psychological nursing can improve the quality of daily living and relieve depression severity in young patients with PSD.%目的：探讨连续心理护理干预在青年脑卒中后抑郁患者中的效果。方法选取住院治疗的青年脑卒中后抑郁患者217例，随机分为研究组109例、对照组108例，两组患者均给予治疗原发病和康复训练，研究组在此基础上实施连续性的心理护理干预。出院1年后对两组青年脑卒中后抑郁患者的抑郁程度（HAMD评分）、日常生活能力状况（ADL评分）进行比较。结果两组患者基线时HAMD、ADL评分，无统计学差异（P均＞0.05）。出院随访1年时研究组青年脑卒中后抑郁患者HAMD、ADL评分分别为（10.22±3.77）分、（18.42±3.64）分，对照组患者HAMD、ADL评分分别为（26.84±4.01）分、（38.35±8.63）分，研究组HAMD、ADL评分较对照组明显下降，差异有统计学意义（P＜0.05）。结论有针对性的连续心理护理，促进了青年脑卒中后抑郁患者日常生活质量的恢复，也减轻了其抑郁程度。