摘要
目的研究脑不同护理措施对脑卒中后焦虑抑郁患者的生活能力和神经功能的影响。方法选取我院从2014年7月至2015年8月收治的脑卒中后焦虑抑郁的患者120例,采用随机数字表法将上述患者分为观察组(60例)和对照组(60例);对照组采取常规护理方法进行护理,观察组采取功能锻炼以及心理护理,观察对比两组患者的护理满意率、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分以及国立卫生研究院卒中量表(NIHSS)评分、日常生活能力量表的Barthel指数。结果两组患者实施相应的护理干预前HAMA评分、HAMD评分以及Barthel指数,组间比较无明显差异(P>0.05)。护理干预结束后,两组的上述量表各项指标评分较护理前均有改善(P<0.05);且观察组护理满意度为100.00%,对照组91.67%,两组比较差异具有统计学意义(P<0.05);观察组的NIHSS评分、Barthel评分均高于对照组,差异具有统计学意义(P<0.05);观察组的HAMA评分、HAMD评分均低于对照组,差异具有统计学意义(P<0.05)。结论脑卒中后焦虑抑郁患者采取功能锻炼及心理护理,可以更有效地促进患者神经功能的恢复,且减少焦虑抑郁等负性情绪的发生,提高护理满意率,对患者疾病的康复与预后均具有很大的改善,因此值得临床推广。
Objective To study the effect of pertinent nursing measures on the life ability and neurological function of patients with anxiety and depression after stroke. Methods 120 cases of patients with anxiety and depression after stroke in our hospital from July 2014 to August 2015 were collected and divided into observation group（60 cases）and control group（60 cases）according to random digital table method. Patients in control group received conventional nursing intervention,while those in observation group received functional exercise and psychological nursing care. Nursing satisfaction rate,HAMA score,HAMD score and NIHSS score and Barthel Index score were compared between the two groups. Results Before the implementation of intervention,there was no statistical differences of nursing satisfaction rate,HAMA score,HAMD score and NIHSS score and Barthel Index score between the two groups（P0.05）. After intervention,scores of the indexes mentioned above of both the two groups were all better than that before nursing care（P0.05）. The nursing satisfaction rate of the observation group was 100%,while that of the control group was 91.67% the difference was statistically significant（P0.05）. The NIHSS score and Barthel Index score of the observation group were higher than that of the control group;and the HAMA score and HAMD score of the observation group were lower,all the differences were statistically significant（P0.05）. Conclusion Functional exercise and psychological nursing care can be more effectively to promote the recovery of neurological function,and reduce the occurrence of negative emotions such as anxiety and depression,also improve nursing satisfaction rate of patients with anxiety and depression after stroke. The rehabilitation and prognosis of patients has a great improvement,so it is worthy of clinical promotion.
出处
《国际精神病学杂志》
2016年第4期701-703,738,共4页
Journal Of International Psychiatry
关键词
脑卒中
抑郁和焦虑
生活能力
神经功能康复
护理对策
Stroke
Depression and anxiety
Life ability
Neurological function rehabilitation
Nursing measures
