摘要
目的观察高血压脑出血后抑郁患者的心理支持护理的效果。方法选取我院2015年3月至2016年4月高血压脑出血后抑郁患者80例,根据护理方法的不同分为观察组(n=40)和对照组(n=40),对照组给予常规药物治疗和常规护理,观察组在对照组的基础上给予患者本人、患者家人及社会等多方面的心理支持护理干预,两组均护理3个月,于干预前后采用汉密尔顿抑郁量表(HAMD)及抑郁自评量表(SDS)评估患者的情绪,并采用生活质量综合评定问卷(GQOL-74)评价患者护理后的生活质量情况,并比较两组患者的护理满意度。结果干预后观察组患者的HAMD及SDS评分均明显低于对照组(P<0.05);观察组干预后的躯体健康、心理健康、社会功能各维度评分均优于对照组(P<0.05),而物质生活没有显著差异(P>0.05);观察组护理满意度95.00%(38/40)明显高于对照组77.50%(31/40)(P<0.05)。结论心理支持护理干预能有效改善高血压脑出血后抑郁患者抑郁的不良情绪,提高患者生活质量,并提高患者对护理的满意度。
Objective To explore the effect of psychological support nursing strategies to patients with depres- sion after cerebral hemorrhage. Methods 80 cases of patients with depression after cerebral hemorrhage in our hospital from March 2015 to April 2016 were selected. According to the different nursing methods, all patients were divided into observation group （ n = 40 ） and control group （ n = 40 ） . The patients in control group were given routine medicine treatment and routine nursing care. The patients in observation group were give routine medicine treatment and the psy- chological support nursing intervention, the duration of treatment were 3 months. Hamilton Depression Scale （ HAMD ）, the self-rating Depression Scale （ SDS ） and the quality of life questionnaire （GQOL-74） were used to assess the mood and quality of life of the patients, and the rate of nursing satisfaction of the two groups were compared. Results After treatment, the HAMD and SDS scores of patients in the intervention group were significantly lower than those of the control group （ P〈0.05 ）, The scores of physical health, mental health and social function of patients in the observa- tion group were better than those in the control group （ P〈0.05 ）, The rate of nursing satisfaction in the observation group （95 % ） was significantly higher than that in the control group （77.50 % ）（P 〈 0.05 ） . Conclusion Psychologi- cal nursing intervention can improvement the negative emotions and the quality of life of in patients with depression after hypertensive cerebral hemorrhage.
出处
《国际精神病学杂志》
2017年第1期151-154,共4页
Journal Of International Psychiatry
关键词
颅内出血
高血压性
抑郁
心理疗法
汉密尔顿抑郁量表
抑郁自评量表
Hypertensive cerebral hemorrhage
Depression
Psychotherapy
Hamilton depression scale
Self-rating depression scale
