心理干预护理对脑卒中后抑郁的临床效果评价分析

摘要

目的：探讨对脑卒中后抑郁患者进行心理干预护理的临床效果。方法：选择本科治疗的脑卒中抑郁患者80例（采用Zung抑郁自评量表进行评估），随机分成对照组与治疗组，每组40例，两组患者均进行脑卒中治疗、抗抑郁药物治疗、康复治疗以及常规临床护理，治疗组在此基础上给予心理干预护理；比较两组患者治疗前及治疗后第16周的生存质量（QOL）、Zung抑郁自评量表（SDS）、神经功能缺陷（NDS）及日常生活能力（ADL）。结果：治疗16周后，治疗组QOL得分及SDS明显较对照组好转（P<0.05）；NDS明显低于对照组， ADL明显高于对照组（P<0.05）；治疗组有效率95%（38/40），明显高于对照组的85%（34/40）。结论：心理干预护理能够明显提高脑卒中后抑郁患者的生存质量，提高了患者治疗的整体治疗效果。%Objective:To investigate the post-stroke depression in elderly patients,Clinical effect of psychological nursing intervention. Method:80 cases of depression after stroke(used the Zung Self-Rating Depression Scale evaluated)were selected in our department,and randomly divided into control group and treatment group,each group had 40 cases. The treatment group and the control group were stroke therapy,antidepressant treatment, rehabilitation therapy and routine clinical care,the treatment group also received psychological intervention nursing;The quality of life of the patients (QOL),Zung Self-Rating Depression Scale(SDS),neural function defect(NDS),activity of daily living(ADL)were compared with 16th weeks after treatment. Result:After 16 weeks of treatment,patients treated with SDS and QOL score was significantly better than the control group,both statistically significant compared(P<0.05);NDS in the treatment group was significantly lower than the control group ,ADL was significantly higher(P<0.05);The treatment group efficiency was 95%(38/40),significantly higher than 85%(34/40)of the control group. Conclusion:Psychological intervention can significantly improve the care of patients with post-stroke depression and quality of life,improve patient care the overall therapeutic effect.