60例脑卒中后抑郁患者的护理干预临床效果观察

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1、60例脑卒中后抑郁患者的护理干预临床效果观察阿依夏木古丽?沙得尔杨韵歆(新疆医科大学第五附属医院康复医学科830011)【摘要】目的:观察护理干预对脑卒中后抑郁(PSD)的临床效果。方法:将60例PSD患者随机分为治疗组和对照组各30例。两组患者均同时接受神经内科的常见抗抑郁治疗，对照组进行神经内科的常规护理和生活护理，观察组进行综合性的护理干预措施。两组患者在护理干预前及干预后1个月、3个月均进行HAMD评分,日常生活活动能力评定采用Berthel(BL)指数法，肢体运动功能采用Fegl-Meyer运动功能积分法(FMA)评定，并比较两组患者的临床护理效果。

2、结果:两组患者护理干预后1个月和3个月HAMD评分均下降,BL与FMA评分均升高，与护理前比较，差异均有统计学意义(P<0.05),观察组改善情况优于对照组，差异有统计学意义(P<0.05)。观察组总有效率为76.23%高于对照组的47.25%,差异有统计学意义(P<0.05)。结论镭合护理措施可以减轻PSD患者抑郁症状，有利于治疗与护理方案的实施，可尽快恢复患者的生活能力，值得临床护理工作中进一步推广。【关键词】脑卒中抑郁护理干预效果观察【中图分类号】R473.73【文献标识码】A【文章编号】1672-5085(2013)46-0016-0

3、2Clinicaleffectobservationofnursinginterventionon60post-strokedepression.【Ayixiamuguli】(No.5subsidiaryHospitalofmedicaluniversityXinjiang,Urumqi830011)AbstractObjective:"?。observeclinicaleffectofnursinginterventiononpost-strokedepression.Methods:60casesofpost-strokedepression(PSD)we

4、rerandomlydividedintoobservationgroupandcontrolgroup,30casesineachgroup.Allpatientsreceivedantidepressanttreatmentofcommonneurology,thecontrolgroupwasgivenconventionalcareandIifecare,theobservationgroupwasgivencomprehensivenursinginterventions.Thetwogroupsofpatientsinthecareoftheint

5、erventionandafter1month,3monthswerecarriedoutHAMDscore,activitiesofdailyIivingwereassessedwithBerthel(BL)index,limbmotorfunctionusingFegl-Meyermotorfunctionintegrationmethod(FMA)Assessment,comparedthetwogroupsofclinicalcareeffectiveness.Results:TheHAMDscoreofpatientsintwogroupswerea

6、lldescentedafternursinginterventiononeandthreemonths,whiletheBLandFMAscorewerehigherthanbeforeintervention(P<0.05),buttheimprovementconditioninobservationgroupwasbetterthanincontrolgroup(P<0.05).Thetotaleffectiverateofobservationgroup(78.57%)washigherthancontrolgroup(46.43%),t

7、herewasremrkabledifferent(P<O.O5).ConclusionComprehensivecaremeasurescanreducesymptomsofdepression,isbenefitfortreatmentandcareprogramsimplementation,resumeabilityofpatientstoassoonaspossible.【Keywords】Nursing-StrokeDepressionNursinginterveneClinicaleffectClinicaleffectobservatio

8、n脑卒中后抑郁(post-stroke