中医护理路径在脑卒中抑郁症中的应用  

Application of traditional Chinese medical nursing path in the treatment of stroke patients with depression

作　　者：陈丽萍[1] 陈倩维[1] 杜爱华[1] 柯立珊[1] 陈丽娟[1] 

机构地区：[1]广州中医药大学第一附属医院,广东广州510405

出　　处：《齐鲁护理杂志（下旬刊）》2011年第1期9-11,共3页Journal of Qilu Nursing

摘　　要：目的:探讨中医护理路径对脑卒中抑郁症康复效果的影响。方法:将98例脑卒中抑郁症患者随机分为观察组50例和对照组48例。对照组给予常规康复治疗与护理,观察组在此基础上实施中医护理路径。用汉密尔顿抑郁量表(HAMD)对两组患者入院时、干预后2周、4周、8周进行评分比较,用中风症状积分量表于8周后比较两组近期疗效,并对全部病例随访1年,比较两组复发率、病死率。结果:观察组在干预后2周、4周、8周HAMD抑郁量表评分与对照组比较差异有统计学意义(P<0.05,P<0.01)。两组患者脑卒中近期疗效比较差异有统计学意义(P<0.05);两组患者随访1年后复发率、病死率比较差异有统计学意义(P<0.05,P<0.01)。结论:中医护理路径可明显提高卒中后抑郁症康复效果,改善抑郁症,降低复发率、病死率。Objective：To explore the impact of traditional Chinese medical nursing path on the rehabilitation outcome of stroke patients with depression.Methods：98 stroke patients with depression were randomly divided into observation group（n=50） and control group（n=48）.The patients in the control group received routine rehabilitation treatment and nursing care,and traditional Chinese medical nursing path was applied to the patients in the observation group based on the routine measures.HAMD depression scale was used to score the patients respectively on admission,2 weeks,4 weeks and 8 weeks after the intervention and the comparison was made between the two groups.The symptom rating scale was used to compare the short-term therapeutic effect after 8 weeks and compare the recurrence rate and case fatality rate between the two groups after following up all patients for one year.Results：There were statistically significant difference in the comparison of the scores obtained by HAMD depression scale after the intervention for 2 weeks,4 weeks and 8 weeks between the two groups（P0.05,P0.01）;the comparison of short-term therapeutic effect was significantly different between the two groups（P0.05） and the differences in the comparison of the recurrence rate and case fatality rate after one year were statistically significant between the two groups（P0.05,P0.01）.Conclusion：The traditional Chinese medical nursing path can markedly improve the rehabilitation outcome,relieve the symptoms of depression and reduce the recurrence rate and case fatality rate.

关 键 词：中医护理路径 脑卒中抑郁症 效果评价 

分 类 号：R473.74[医药卫生—护理学]