| 陈燕,沈卫红.早期综合护理干预在脑卒中后抑郁患者中的应用效果（增刊）[J].上海护理,2018,18(S1): |
| 早期综合护理干预在脑卒中后抑郁患者中的应用效果（增刊） |
| The Effect of Early Comprehensive Nursing Intervention in Post-stroke Depression Patients |
| DOI： |
| 中文关键词: 脑卒中后抑郁 早期综合护理干预 应用效果 |
| 英文关键词:Post-stroke depres-sion early comprehensive nursing intervention application effect |
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| 中文摘要: |
| 目的 探讨早期综合护理干预在脑卒中后抑郁患者中的应用效果。方法 选取2016年5月至2017年6月收治某三级综合医院神经内科的脑卒中抑郁患者92例，随机分为对照组和观察组，每组各46例。对照组采用常规药物治疗，护理及康复训练；观察组在对照组的治疗基础上给予早期综合护理干预。两组患者在干预前后进行汉密尔顿抑郁量表（HAMD）评分、Fugl-Meyer运动功能量表（FMA）评分及日常生活活动能力量表Barther指数（BI）评分，比较两组患者的抑郁程度、肢体运动功能及日常生活自理能力的改善效果。结果 干预前两组患者HAMD、FMA、BI评分比较，差异无统计学意义（P＞0.05）；干预2周后，HAMD评分观察组低于对照组（P＜0.05），FMA评分、BI评分观察组均高于对照组（P＜0.05），差异有统计学意义。结论 早期综合护理干预，可有效改善脑卒中患者的抑郁情绪，促进患者肢体运动功能和生活自理能力的恢复，提高患者生活质量。 |
| 英文摘要: |
| Objective To explore the effect of early comprehensive nursing intervention in patients with post-stroke depression.Methods From May 2016 to June 2017, 92 patients with stroke and depression who were admitted to the neurology department of a tertiary general hospital were randomly divided into control group and observation group, with 46 cases in each group.The control group received routine drug treatment, nursing and rehabilitation training. The observation group received early comprehensive nursing intervention on the basis of the control group.The Hamilton Depression Rating Scale (HAMD), the Fugl-Meyer Motor Function Scale (FMA) and the Barther Index (BI) score of daily living activity were compared between the two groups before and after intervention to compare the degree of depression, Exercise function and self-care ability to improve daily life.Results There was no significant difference in scores of HAMD, FMA and BI between the two groups before intervention (P> 0.05). After intervention for 2 weeks, HAMD score was lower in the observation group than in the control group (P <0.05) Group were higher than the control group (P <0.05), the difference was statistically significant.Conclusion Early comprehensive nursing intervention can effectively alleviate depression in patients with stroke, promote the recovery of limb motor function and self-care ability, and improve the quality of life of patients. |
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