脑卒中后抑郁和焦虑共病对患者生活能力和神经功能康复的影响及护理对策

The influence of post stroke depression and anxiety on the life ability and neurological function recovery of patients and nursing strategies

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(4)
作者
作者单位

陕西省人民医院神经内二科 ;

摘要
【摘要】 目的:研究脑卒中后抑郁和焦虑共病对患者生活能力和神经功能康复的影响及护理对策。方法:选取我院从2014年7月至2015年8月收治的脑卒中后抑郁和焦虑共病患者120例,采用随机数字表法将120例脑卒中后抑郁和焦虑共病患者分为观察组(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、HAMA评分、HAMD评分以及NIHSS评分、日常生活能力(Barthel)评分。结果:观察对比两组患者的护理满意率,观察组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评分均优于对照组,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:脑卒中后焦虑和抑郁共病患者采取有效的护理对策进行护理能够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提高,因此值得临床推广。
Abstract
[Abstract] Objective: To study the influence of post stroke depression and anxiety on the life ability and the rehabilitation of neurological function in patients with stroke. Methods: in our hospital from July 2014 to 2015 August were brain post-stroke depression and anxiety is patients with 120 cases, using random number table method, 120 cases of cerebral post stroke depression and anxiety patients was divided into observation group (60 cases) and control group (60 cases). The control group adopted routine nursing care, observation group adopt functional exercise and psychological nursing and observation were compared between the two groups of patients and nursing satisfaction rate, HAMA score, HAMD score and NIHSS score, activity of daily living (Barthel score. Results: observation were compared between the two groups of patients satisfaction rate of nursing care, observation group 97.50%, control group was 85%, the difference between the two groups has statistical significance (P < 0.05). In the observation group, the NIHSS score, Barthel score were significantly superior to the control group, the difference is statistically significant (P < 0.05); observation group of HAMA and HAMD score were significantly lower than those of the control group, the difference is statistically significant (P < 0.05). Conclusion: cerebral stroke anxiety and depression comorbidity patients take effective nursing countermeasures by nursing intervention can promote the recovery of neural function in the patients with and reduce depression, anxiety and other negative emotions, improve nursing satisfaction rate, rehabilitation and prognosis of patients with the disease is very high, therefore, is worth the clinical promotion.
关键词
【关键词】:脑卒中;抑郁和焦虑;;生活能力;神经功能康复;护理对策。
KeyWord
[Key words]: Stroke; Depression and anxiety; Life ability; Neural function rehabilitation; Nursing strategy.
基金项目
页码 701-703
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王倩*, 郭荷娜,刘小玲,田颖莺,贾小荣. 脑卒中后抑郁和焦虑共病对患者生活能力和神经功能康复的影响及护理对策 [J]. 国际精神病学杂志. 2016; 43; (4). 701 - 703.

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