综合性康复护理对脑卒中合并抑郁、焦虑患者的疗效

Effect of comprehensive rehabilitation nursing on stroke patients with depression and anxiety.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(2)
作者
作者单位

广元市精神卫生中心老年科 ;

摘要
目的 分析综合性康复护理对脑卒中合并焦虑抑郁患者的疗效。方法 选取我院2014年1月至2015年1月脑卒中合并焦虑抑郁患者共100例,按照随机数字表法平均分为实验组和对照组。对照组予以常规药物治疗和护理;实验组在常规药物治疗和护理的基础上,增加综合性康复护理。分别于护理干预前及开始后的2周、4周、6周对两组患者评估汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD);两组患者分别于护理干预前及开始6周后评估抑郁自评量表(SDS)、焦虑自评量表(SAS)。并对比两组患者护理干预6周后的临床疗效。结果 两组患者实施护理干预前HAMA、HAMD、SDS和SAS组间对比无明显差异(P >0.05)。两组患者护理干预后的2周、4周、6周的HAMA和HAMD评分较护理干预前均逐渐下降(P <0.05),且实验组护理干预后的2周、4周、6周的HAMA和HAMD评分显著低于对照组(P <0.05)。两组患者护理干预6周后的SDS和SAS评分显著低于护理干预前(P <0.05),且实验组护理干预6周后的SDS、SAS评分显著低于对照组(P <0.05)。实验组护理干预6周后的焦虑和抑郁症状改善率显著高于对照组(P <0.05)。结论 在常规药物治疗及护理的基础上,增加综合性康复护理可更有效地改善脑卒中患者焦虑抑郁情绪,更有效地提高患者的临床疗效,因此值得在临床护理工作中推广和应用。
Abstract
Abstract】 Objective Todiscusstheeffect of comprehensiverehabilitationnursingonstrokepatientswith To discuss the effect of comprehensive rehabilitation nursing on stroke patients withdepression and anxiety. Methods 100casesof strokepatientswithdepressionandanxietywereselectedfromJanu- 100 cases of stroke patients with depression and anxiety were selected from Janu-ary 2014 to January 2015 in our hospital. According to the method of random number table,all thepatientsweredi- ,all thepatientsweredi- all the patients were di-vided into two groups averagely:thecontrol groupandtheexperimental group. Thecontrol groupweregiventheroutine :thecontrol groupandtheexperimental group. Thecontrol groupweregiventheroutine the control group and the experimental group. The control group were given the routinetherapy and nursing intervention;meanwhile,theexperimental groupwerereceivedthecomprehensiverehabilitation ;meanwhile,theexperimental groupwerereceivedthecomprehensiverehabilitation meanwhile,theexperimental groupwerereceivedthecomprehensiverehabilitation ,theexperimental groupwerereceivedthecomprehensiverehabilitation the experimental group were received the comprehensive rehabilitationnursing care on the basis of the routine therapy and nursing intervention. Then,HAMAandHAMDwereevaluatedand ,HAMAandHAMDwereevaluatedand HAMA and HAMD were evaluated andcompared between the two groups before nursing care and 2 weeks,4weeksand6weeksafternursinginterventionbe- ,4weeksand6weeksafternursinginterventionbe- 4 weeks and 6 weeks after nursing intervention be-gins. Also,SASandSDSwereevaluatedandcomparedbetweenthetwogroupsbeforenursingcareand6weeksafter ,SASandSDSwereevaluatedandcomparedbetweenthetwogroupsbeforenursingcareand6weeksafter SAS and SDS were evaluated and compared between the two groups before nursing care and 6 weeks afternursing intervention begins. Besides,theclinical effect of thetwogroupswerecompared6weeksafternursinginter- ,theclinical effect of thetwogroupswerecompared6weeksafternursinginter- the clinical effect of the two groups were compared 6 weeks after nursing inter-vention begins. Results Therewasnosignificant differenceinthescoresof HAMA,HAMD,SASandSDSbetween There was no significant difference in the scores of HAMA,HAMD,SASandSDSbetween ,HAMD,SASandSDSbetween HAMD,SASandSDSbetween ,SASandSDSbetween SAS and SDS betweenthe two groups of patients before receiving nursing care(P >0.05).After2weeks,4weeksand6weeksof nursing ).After2weeks,4weeksand6weeksof nursing .After 2 weeks,4weeksand6weeksof nursing ,4weeksand6weeksof nursing 4 weeks and 6 weeks of nursingintervention,thescoresof HAMAandHAMDbothdecreasedcomparedwiththat beforenursinginterventioninboth ,thescoresof HAMAandHAMDbothdecreasedcomparedwiththat beforenursinginterventioninboth the scores of HAMA and HAMD both decreased compared with that before nursing intervention in both two groups,andthedifferenceshadstatistical significances( ,andthedifferenceshadstatistical significances( and the differences had statistical significances (P < 0.05).Meanwhile,thescoresof HAMAandHAMD ).Meanwhile,thescoresof HAMAandHAMD .Meanwhile,thescoresof HAMAandHAMD ,thescoresof HAMAandHAMD the scores of HAMA and HAMDof the observational group were significantly lower than that of the control group after nursing intervention(P < 0.05). ).After 6 weeks of nursing intervention,thescoresof SASandSDSbothdecreasedcomparedwiththat beforenursing ,thescoresof SASandSDSbothdecreasedcomparedwiththat beforenursing the scores of SAS and SDS both decreased compared with that before nursingintervention in both two groups,andthedifferenceshadstatistical significances( ,andthedifferenceshadstatistical significances( and the differences had statistical significances (P < 0.05).Meanwhile,thescoresof ).Meanwhile,thescoresof .Meanwhile,thescoresof ,thescoresof the scores of SAS and SDS of the observational group were significantly lower than that of the control group after nursing intervention(P < 0.05). Theobservationalgrouphadahigherpercentageofclinicalimprovementeffectthanthecontrolgroup( ). Theobservationalgrouphadahigherpercentageofclinicalimprovementeffectthanthecontrolgroup( . The observational group had a higher percentage of clinical improvement effect than the control group(P <0.05). ). Conclusion Thecomprehensiverehabilitationnursingcareonthebasisof theroutinetherapyandnursingin- The comprehensive rehabilitation nursing care on the basis of the routine therapy and nursing in-tervention can be more effective than the routine one only to improve the depression and anxiety mood of stroke patients.Also,it hadahigherpercentageof clinical improvement effect . Thus,it isworthyof popularizationandapplicationin ,it hadahigherpercentageof clinical improvement effect . Thus,it isworthyof popularizationandapplicationin it had a higher percentage of clinical improvement effect . Thus,it isworthyof popularizationandapplicationin ,it isworthyof popularizationandapplicationin it is worthy of popularization and application in clinical nursing work.
关键词
综合性康复护理;脑卒中;焦虑;抑郁
KeyWord
Comprehensive rehabilitation nursing;Stroke;Anxiety;Depression;
基金项目
页码 371-374
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张晓娟*,田 华,刘 杰. 综合性康复护理对脑卒中合并抑郁、焦虑患者的疗效 [J]. 国际精神病学杂志. 2016; 43; (2). 371 - 374.

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