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目的探索健康教育照护者对脑卒中后抑郁患者的临床疗效影响。方法选择126例住院治疗的脑卒中后抑郁患者,随机分为3组,对照组给予常规的脑卒中康复和抗抑郁治疗,心理干预组在对照组的基础上给予患者心理干预治疗,照护者健康教育组是在心理干预组的基础上对照护者进行健康教育,治疗前及治疗4周后对3组患者进行汉密尔顿抑郁量表17项(HAMD-17)和日常生活能力量表(ADL)评分。结果 3组脑卒中后抑郁患者治疗后HAMD-17和ADL评分均较治疗前降低(P<0.05),治疗后照护者健康教育组患者的HAMD-17和ADL得分均较对照组和心理干预组得分低(P<0.05)。结论对照护者进行健康教育有助于改善脑卒中后抑郁患者的抑郁症状,促进其日常活动能力的恢复。
Objective To explore the effect of health education caregivers on the clinical efficacy of patients with post-stroke depression. Methods A total of 126 hospitalized patients with post-stroke depression were selected and randomly divided into three groups. The control group was given conventional stroke rehabilitation and antidepressant treatment. The psychological intervention group was given psychological intervention and caregiver’s health on the basis of the control group The education group conducted health education on nursing care workers based on the psychological intervention group. Before treatment and after 4 weeks of treatment, Hamilton Depression Rating Scale 17 (HAMD-17) and Daily Life Fitness Scale (ADL) were scored on 3 groups . Results The scores of HAMD-17 and ADL in post-stroke depression patients in three groups were significantly lower than those before treatment (P <0.05). After treatment, the scores of HAMD-17 and ADL in health education group were significantly higher than those in control group and psychological intervention group Score low (P <0.05). Conclusion The caregivers’ health education can help to improve the depressive symptoms of post-stroke depression patients and promote the recovery of their daily activities.