陪伴式情感护理对老年脑卒中患者抑郁影响.docVIP

陪伴式情感护理对老年脑卒中患者抑郁影响 　　[摘要]目的 研究陪伴式情感护理对老年脑卒中患者抑郁的干预效果，为减少卒中后抑郁的发生提供理论依据。方法 选择2016年6月～2017年6月在我院就诊的老年脑卒中患者112例作为研究对象，按照随机数字表法分为研究组和对照组，每组各56例。对照组患者采取常规治疗及护理模式，研究组在常规治疗及护理基础上给予陪伴式情感护理；观察两组患者卒中后抑郁发生情况及应对方式；采用抑郁自评量表（SDS）评估患者抑郁发生情况，采用特质应对方式问卷评估患者应对方式。结果 干预前，两组患者的SDS评分差异无统计学意义（P0.05）；干预后，研究组患者SDS评分低于对照组（P0.05），研究组患者卒中后抑郁发生率低于对照组（P0.05），研究组患者TCSQ量表积极应对维度评分高于对照组，消极应对维度评分低于对照组，差异均有统计学意义（P0.05）。结论 陪伴式情感护理可减少老年脑卒中患者抑郁的发生，应采取积极的应对方式面对疾病。 　　[关键词]陪伴式情感护理；老年；脑卒中；抑郁 　　[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-4721（2018）4（a）-0176-03 　　The influence of accompany emotional nursing on depression in elderly stroke patients 　　SU Qiao-dan YU Yang HUANG Man-li HOU Zheng-ting 　　Departmen of Geriatrics，the Third People′s Hospital of Foshan City，Guangdong Province，Foshan 528041，China 　　[Abstract]Objective To study the influence of accompany emotional nursing on depression，and to provide theoretical basis for reducing the prevalence of post-stroke depression.Methods 112 elderly stroke patients were chosed as the research object in our hospital from June 2016 to June 2017.They were randomly divided into study group and control group，according to random number table method，and there were 56 cases in each group.Patients in the control group were treated with routine treatment and care.Besides the routine treatment and care，accompany emotional nursing intervention were given to the study group.Self-rating depression scale（SDS） was used to assess patient′s depression.Trait coping styles questionnaire （TCSQ） was used to evaluate the response of patients.Results There was no statistically significant difference between SDS scores in two groups before intervention（P0.05）.The SDS score in study groups after intervention was statistically significant（P0.05）.The incidence of post-stroke depression in study group was lower than that in the control group and was statistically significant after intervention（P0.05）.The positive coping dimension and negative coping dimension score of TCSQ scale in study g