60例脑卒中后抑郁患者的护理干预临床效果观察.docVIP

精品论文 参考文献 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-M eyer运动功能积分法(FMA)评定,并比较两组患者的临床护理效果。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(Plt;0.05), 观察组改善情况优于对照组, 差异有统计学意义(Plt;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(Plt;0.05)。结论:综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）46-0016-02 　　Clinical effect observation o f nursing intervention on 60 post- stroke depress ion. 　　【Ayixiamuguli】 (No.5 subsidiary Hospital of medical university Xinjiang,Urumqi 830011) Abstract Objective:To observe clinical effect of nursing in tervent ion on post- stroke depression.Methods:60 cases of post- stroked epression (PSD) were randomly divided into observation group andcontrol group, 30 cases in each group. All patients received antidep ressant treatment of common neurology,thecontrol groupwas given conventional care and l ife care, the observation groupw as given com prehensive nursinginterventions. The two groups of patientsin the care of the intervention and after 1 month,3 monthsw ere carried out HAMD score, activit ies of daily l iving were assessed with B erthel (BL) index,limbmotor function using Fegl- Meyermotor function in tegrationm ethod (FMA) Assessment, com pared the two groups of clinical care effectiveness. Results: TheHAMD score of patients in two groups were all descented after nursing in tervention one and three months, while the BL and FMA score were higher than before intervention (Plt;0.05) ,but the improvement condition in observation groupw as better than in control group (Plt;0.05).The total effect iverateof observation group (78.57%) was higher than control group (46.43%) ,there was rem r