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目的探讨心理护理对脑卒中后抑郁患者的干预效果。方法选取2013年1月至2015年1月沈阳市第一人民医院收治的220例脑卒中后抑郁患者作为研究对象,采用随机数字表法将其分为观察组和对照组,每组110例。对照组患者均给予常规药物治疗及护理,观察组患者在对照组基础上实施心理护理,比较两组患者干预前后汉密尔顿抑郁量表(HAMD)、神经功能缺损程度量表(MESSS)、日常生活能力量表(ADL)、生命质量量表(QOL)评分及干预后的康复依从性。结果干预后,观察组患者的HAMD、MESSS评分均明显低于对照组,ADL、QOL评分均明显高于对照组,差异均有统计学意义(均P<0.05);观察组患者的康复依从性明显高于对照组,差异有统计学意义(P<0.05)。结论对脑卒中后抑郁患者实施有效的心理护理,可有效减轻患者抑郁程度,促进神经功能恢复,提高其治疗及护理依从性,进而改善患者的日常生活能力及生命质量。
Objective To investigate the effect of psychological nursing intervention on post-stroke depression patients. Methods Totally 220 patients with post-stroke depression who were admitted to Shenyang First People’s Hospital from January 2013 to January 2015 were selected as study subjects, and randomly divided into observation group and control group with 110 cases in each group. The patients in the control group were given routine medication and nursing care. The patients in the observation group were given psychological nursing care based on the control group. The Hamilton Depression Inventory (HAMD), MESSS, daily living ability ADL, QOL score and rehabilitation compliance after intervention. Results After intervention, the scores of HAMD and MESSS in the observation group were significantly lower than those in the control group, and the ADL and QOL scores were significantly higher than those in the control group (all P <0.05). The rehabilitation compliance The difference was statistically significant (P <0.05). Conclusions Effective psychological care for patients with post-stroke depression can effectively reduce the degree of depression, promote the recovery of neurological function, improve the treatment and nursing compliance, and then improve their daily living ability and quality of life.