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目的研究脑不同护理措施对脑卒中后焦虑抑郁患者的生活能力和神经功能的影响。方法选取我院从2014年7月至2015年8月收治的脑卒中后焦虑抑郁的患者120例,采用随机数字表法将上述患者分为观察组(60例)和对照组(60例);对照组采取常规护理方法进行护理,观察组采取功能锻炼以及心理护理,观察对比两组患者的护理满意率、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分以及国立卫生研究院卒中量表(NIHSS)评分、日常生活能力量表的Barthel指数。结果两组患者实施相应的护理干预前HAMA评分、HAMD评分以及Barthel指数,组间比较无明显差异(P>0.05)。护理干预结束后,两组的上述量表各项指标评分较护理前均有改善(P<0.05);且观察组护理满意度为100.00%,对照组91.67%,两组比较差异具有统计学意义(P<0.05);观察组的NIHSS评分、Barthel评分均高于对照组,差异具有统计学意义(P<0.05);观察组的HAMA评分、HAMD评分均低于对照组,差异具有统计学意义(P<0.05)。结论脑卒中后焦虑抑郁患者采取功能锻炼及心理护理,可以更有效地促进患者神经功能的恢复,且减少焦虑抑郁等负性情绪的发生,提高护理满意率,对患者疾病的康复与预后均具有很大的改善,因此值得临床推广。
Objective To study the effects of different brain care strategies on the viability and neurological function of patients with anxiety and depression after stroke. Methods A total of 120 patients with anxiety and depression after stroke were selected from July 2014 to August 2015 in our hospital. The patients were divided into observation group (60 cases) and control group (60 cases) by random number table. The control group was treated by routine nursing care. The observation group was given functional exercise and psychological nursing. The nursing satisfaction rate, Hamilton Anxiety Scale (HAMA), Hamilton Depression Rating Scale (HAMD) and the National Institutes of Health Stroke Scale (NIHSS) score, Barthel Index of daily living ability scale. Results The HAMA score, HAMD score and Barthel index before nursing intervention in the two groups had no significant difference (P> 0.05). After nursing intervention, the score of each index in the above two groups improved compared with that before nursing (P <0.05); and the nursing satisfaction of the observation group was 100.00% and 91.67% in the control group, the difference between the two groups was statistically significant (P <0.05). The scores of NIHSS and Barthel in the observation group were higher than those in the control group (P <0.05). The HAMA and HAMD scores in the observation group were lower than those in the control group (P <0.05). Conclusions The functional exercise and psychological nursing in patients with anxiety and depression after stroke can promote the recovery of neurological function and reduce the negative emotions such as anxiety and depression and improve the nursing satisfaction rate, Great improvement, it is worth clinical promotion.