舒适护理对脑卒中后遗症患者抑郁情绪和日常生活活动能力的影响  

The Effect of Comfort Care on Depression and Daily Living Activities of Patients with Stroke Sequel

作　　者：李红云[1] 

机构地区：[1]中国.嘉应学院医学院护理教研室,梅州514031

出　　处：《中国健康心理学杂志》2012年第5期673-674,共2页China Journal of Health Psychology

摘　　要：目的观察舒适模式的应用对脑卒中后遗症患者抑郁情绪和日常生活活动能力的干预作用。方法对130例研究对象采用舒适护理模式(即生理舒适+心理舒适+社会功能舒适)进行护理,同时采用日常生活活动能力(ADL)、抑郁状态问卷和自评抑郁量表分别于舒适护理前后,评定患者的日常生活活动能力和抑郁状态的轻重程度,并将3个量表测评总分作为最后评价指标。测得数据进行统计学处理(t检验)。结果采用舒适护理模式前后Barthel指数和DSI、SDS的结果分别为(t=4.539,6.628,6.249),具有非常显著性差异(P均<0.01)。提示舒适护理模式后对脑卒中患者日常生活活动能力和不良心理状态明显改善。结论脑卒中后遗症可严重影响患者身心健康,舒适护理模式可有效促进患者的全面恢复。Objective To observe the effect of application of comfortable mode on depression and daily living activities of patients with stroke sequel.Methods The comfort care model（ie,physical comfort ＋ comfort ＋ the social function of psychological comfort）was used to 130 cases,while using activities of daily living（ADL）,depression and self-rating depression scale questionnaire before and after,comfort care respectively for assessing patient’s activities of daily living and severity of depression.Results There were significant differences in Barthel index,the DSI and SDS between before and after the comfort care model（t=4.539,6.628,6.249;all P〈0.01）.which showed comfort care mode could improve activities of daily living and poor mental state of patients with stroke sequel significantly.Conclusion Patients with stroke sequel have serious physical and mental health problem,comfort care model can effectively promote full recovery in health of patients with stroke sequel.

关 键 词：脑卒中后遗症 抑郁 日常生活活动能力 舒适护理 

分 类 号：R743.3[医药卫生—神经病学与精神病学]