个案管理模式护理对脑卒中后抑郁患者生活质量的影响.docVIP

个案管理模式护理对脑卒中后抑郁患者生活质量的影响 　　[摘要] 目的 探讨个案管理对脑卒中后抑郁（PSD）患者生活质量的影响。 方法 于2012年6月～2013年6月，选取广东省佛山市第一人民医院特需医疗中心住院符合入选条件的53例脑卒中后抑郁患者，按时间顺序将53例脑卒中后抑郁患者分为对照组25例和实验组28例。对照组接受常规护理，实验组接受个案管理，两组均接受出院后6个月随访。分别收集两组患者入院时、出院时及出院后3、6个月的脑卒中影响量表（SIS）、汉密尔顿抑郁量表（HAMD），比较两组护理效果。 结果 两组入院时、出院时的SIS、HAMD比较，差异无统计学意义（P 0.05），出院后3个月和6个月的SIS、HAMD实验组均优于对照组，差异均有统计学意义（P 0.01或P 0.05）。结论 个案管理模式护理能够改善脑卒中后抑郁患者的生活质量。 　　[关键词] 个案管理；脑卒中后抑郁；生活质量 　　[中图分类号] R473.74[文献标识码] B[文章编号] 1673-7210（2014）06（b）-0113-04 　　 　　Effect of case management on quality of life of post-stroke depression patients 　　ZHU Min ZHAO Qiaohong LI Xiuxiong LIN Sihuan WU Dingfang 　　Special Medical Center, the First People′s Hospital of Foshan City, Guangdong Province, Foshan 528000, China 　　[Abstract] Objective To discuss the effects of case management on quality of life in patients with post-stroke depression. Methods A total of 53 PSD patients were recruited in Special Medical Center of the First People′s Hospital of Foshan City in Guangdong Province during June 2012 to June 2013, and divided into control group (25 patients) and study group (28 patients) according to time. The control group received routine care while the study group received case management, and both received 6 - month follow-up visit. Then the status of quality of life (SIS) and depression (HAMD) of all patients when admission, discharge, 3 month and 6 month after discharge respectively were collected, and the nursing effect in two groups were compared. Results When admission and discharge, the SIS and HAMD of the two group had no significant difference (P 0.05), but 3 months and 6 months after discharge, the comparative results of study group were all superior to the control group with significant differences (P 0.01 or P 0.05). Conclusion Case management can improve the quality of life in patients with post-stroke depression. 　　[Key words] Case management; PSD; Quality of life 　　脑卒中后抑郁（post-stroke depression，PSD）发病率为25%~79%[1]，常于患者卒中后数天、数周或晚至数月出现，若治疗