脑卒中后抑郁患者专人化健康教育实施与评价  

Implementation and Evaluation of Proactive Health Education for Patients with Post-stroke Depression

作　　者：黄美红[1] 韩瑶芳[1] 葛君[1] 

机构地区：[1]中国中国人民解放军第一一三医院护理部,宁波315040

出　　处：《中国健康心理学杂志》2013年第4期546-547,共2页China Journal of Health Psychology

摘　　要：目的探讨脑卒中后抑郁患者专人化健康教育实施方法和效果评价。方法选择我院高压氧科收治的82名脑卒中后抑郁患者,随机分为实验组和对照组。两组均给予常规药物治疗,对照组实行常规健康教育,实验组安排专人负责健康教育,对专人化健康教育的效果进行统计学分析。结果实验组和对照组的脑卒中后抑郁的汉密尔顿抑郁量表(HAMD)、临床神经功能缺损(CSS)均有显著差异(P<0.01和P<0.05),实验组的护理质量满意度明显高于对照组(χ2=27.273,P<0.01),有显著性差异。结论健康教育专人化管理对脑卒中后抑郁患者全面恢复有重要意义,对脑卒中后抑郁患者的护理质量满意度提高有着积极作用。Objective To evaluate the implementation methodand effect evaluation of proactive health education for patients with post--stroke depression（PSD）. Methods Totally 82 inpatients with PSD were randomly divided into trial group and control group. All patients were treated with conventional therapy ,and additionally the patients in the control group were given convention- al health education,while those in trial group were given proactive health education. The effect comparison between proactive health education and conventional health education was statistically analyzed. Results Significant differences in HAMD and CSS between trial group and control group were observed （HAMD, P〈0.01 ;CSS,P〈0.05）, and patients＇ satisfaction degree with nursing qual ity in trial group was better than that of control group（X2=27. 273,P〈0.01）. Conclusion Proactive management of health edu cation can improve patients＇ satisfaction with nursing quality and thus is important for full recovery for patients with PSD.

关 键 词：脑卒中后抑郁 健康教育 专人化管理 护理质量 满意度 

分 类 号：R743.3[医药卫生—神经病学与精神病学]