摘要
目的探讨早期心理护理干预对脑卒中后抑郁患者神经心理的改善作用。方法选取2016年8月至2018年8月武汉市第一医院神经内科脑卒中后抑郁患者60例,随机分为2组:对照组为常规护理干预组(30例),研究组为常规护理干预基础上早期心理护理干预组(30例),统计分析2组患者的汉密尔顿抑郁量表(HAMD)评分、神经功能缺损评分(NIHSS)、Barthel指数、世界卫生组织生活质量问卷(WHOQOL-BREF)评分、血浆去甲肾上腺素(NE)、5-羟色胺(5-HT)含量、临床疗效。结果研究组患者的HAMD评分、NIHSS评分均显著低于对照组(P<0.05),Barthel指数、WHOQOL-BREF评分均显著高于对照组(P<0.05),血浆NE、5-HT含量均显著高于对照组(P<0.05),护理干预的总有效率93%(28/30)显著高于对照组77%(23/30)(P<0.05)。结论早期心理护理干预能够有效改善脑卒中后抑郁患者神经心理。
Objective To explore the effect of early psychological nursing intervention on neuropsychology of patients with post-stroke depression.Methods Sixty cases of patients with post-stroke depression in the Department of Neurology,First Hospital of Wuhan from August 2016 to August 2018 were randomly selected and divided into two groups:routine nursing intervention group(control group,30 cases),early psychological nursing intervention on the basis of routine nursing intervention group(study group,30 cases).The HAMD scores,NIHSS scores,Barthel indexes,WHOQOL-BREF scores,plasma NE,5-HT contents and clinical efficacy of the two groups were statistically analyzed.Results The HAMD score and NIHSS score of the study group were significantly lower than those of the control group(P<0.05).The Barthel index,WHOQOL-BREF scores,the plasma levels of NE and 5-HT were significantly higher in the study group than those of the control group(P<0.05).The total effective rate of nursing intervention was 93%(28/30),significantly higher than 77%(23/30)of the control group(P<0.05).Conclusion Early psychological nursing intervention can effectively improve neuropsychology of patients with post-stroke depression.
作者
李艳芳
杨薇
Li Yanfang;Yang Wei(Department of Neurology,Wuhan NO.1 Hospital,Hubei 430022,China)
出处
《山西医药杂志》
CAS
2019年第17期2101-2103,共3页
Shanxi Medical Journal
关键词
心理护理
脑血管意外
抑郁
神经心理学
Psychological nursing
Cerebrovascular accident
Depression
Neuropsychology
