分阶段心理护理对脑卒中后抑郁患者的干预效果研究
杨雪雯 （ 齐齐哈尔医学院附属第三医院 ）
杨立群 （ 齐齐哈尔医学院护理学院 ）
Abstract
目的：研究分析分阶段心理护理对脑卒中后抑郁患者的干预效果。方法：选择我院收治的110例脑卒中后抑郁症患者为研究对象，应用随机数字表法将患者分为对照组与观察组，各组患者55例。对照组采取常规护理干预，观察组在对照组基础上增加分阶段心理护理，比较两组患者抑郁水平的变化与康复效果。结果：护理前两组HAMD、NIHSS以及WHOQOL-BREF相比无明显差异（P > 0.05），护理干预后两组各评分明显改善，且观察组显著优于对照组，差异具有统计学意义（P < 0.05）。观察组护理有效率为94.55%（52/55），显著优于对照组76.36%（42/55），差异具有统计学意义（P < 0.05）结论：心理护理干预可以有效改善患者抑郁情况，促进患者神经功能恢复，提高其生活质量，在临床上具有推广价值。
Keywords
心理护理; 脑卒中后抑郁; 抑郁评分; 生活质量Full Text
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[4]王陇德,刘建民,杨弋,彭斌,王伊龙.我国脑卒中防治仍面临巨大挑战——《中国脑卒中防治报告2018》概要[J].中国循环杂志, 2019,34(02):105-119.
[5]Das J, Rajanikant GK. Post stroke depression:The sequelae of cerebral stroke. Neurosci Biobehav R 2018,90:104-114.
[6]Nickel A, Thomalla G. Post-Stroke Depression:Impact of Lesion Location and Methodological Limitations-A Topical Review. Front Neurol 2017 Sep 21;8:498.
[7]李莹,李光校.中国脑卒中患者抑郁患病率meta分析[J].中国公共卫生, 2015,31(7):968-972.
[8]Yuan HW, Wang CX, Zhang N, Bai Y, Shi YZ, Zhou Y, Wang YL, Zhang T, Zhou J, Yu X, Sun XY, Liu ZR, Zhao XQ, Wang YJ. Poststroke depression and risk of recurrent stroke at 1 year in a Chinese cohort study. PLoS One 2012;7(10):e46906.
[9]Jørgensen TS, Wium-Andersen IK, Wium-Andersen MK, Jørgensen MB, Prescott E, Maartensson S, Kragh-Andersen P, Osler M. Incidence of Depression After Stroke, and Associated Risk Factors and Mortality Outcomes, in a Large Cohort of Danish Patients. JAMA Psychiatry 2016 Oct 1;73(10):1032-1040.
[10]马春燕,王金桥.早期综合心理护理对改善脑卒中后抑郁症状的影响[J].中国现代医生, 2016,54(03):142-145+149+169.
[11]程喜花.心理护理干预对脑卒中后抑郁患者影响的分析[J].中国现代药物应用, 2015,9(15):241-242.
[12]苏曼莉,李艳芳.早期心理护理对脑卒中后抑郁患者神经心理的影响[J].现代中西医结合杂志, 2015,24(23):2602-2603+2608.
[13]邵润,李小林,吴少丹,李雪萍.个性化心理护理对脑卒中偏瘫患者抑郁发生率及生存质量的影响[J].蚌埠医学院学报, 2015,40(05):696-698.
[14]董颖洁.中医心理护理对促进脑卒中后抑郁患者康复的效果分析[J].临床医药文献电子杂志, 2015,2(07):1302-1303.
[15]杨光.系统化心理护理对脑卒中后抑郁患者的干预研究[J].泰山医学院学报, 2014,35(11):1157-1158.
Copyright © 2020 杨雪雯, 杨立群
Publishing time:2020-02-29
This work is licensed under a Creative Commons Attribution 4.0 International License
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