自我效能理论在脑卒中后抑郁患者康复护理中的应用  

Application of Self-efficacy Theory in Rehabilitative Nursing of Patients with Post-stroke Depression

作　　者：陆雪琴[1] 严斌泓[1] 

机构地区：[1]上海市第七人民医院内科,上海200137

出　　处：《解放军护理杂志》2015年第16期51-53,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：浦东新区卫计委护理重点学科(PWZX2014-13)

摘　　要：目的探讨自我效能理论在脑卒中后抑郁(post-stroke depression,PSD)患者康复护理中的应用方法及效果。方法便利抽样法选择2014年1-10月上海第七人民医院康复科收治的PSD患者60例,按入院先后将其分为观察组和对照组各30例,对照组患者予以常规康复护理,观察组患者在对照组的基础上应用自我效能理论对其进行干预。评价并比较干预前后两组患者的汉密顿抑郁量表(Hamilton depression scale,HAMD)评分及神经功能损害评分(national institute of health stroke scale,NIHSS)。结果干预前,两组患者的HAMD及NIHSS评分差异均无统计学意义(均P>0.05);干预后,观察组患者的HAMD及NIHSS评分均低于干预前,且观察组的评分均低于对照组,差异均有统计学意义(均P<0.05)。结论将自我效能理论应用于PSD患者的康复护理中有利于改善患者的抑郁状况,促进患者康复。Objective To study application method and effect of self-efficacy theory in rehabilitative nursing of patients with post-stroke depression（PSD）.Methods By convenience sampling,60 PSD cases were selected and equally divided into observation group and control group.Observation group was given self-efficacy intervention combined with rehabilitative training,while the control group was only received routine rehabilitative nursing.The Hamilton depression scale （HAMD）and NIHSS score was observed before and after treatment.Results There was no statistical significance of HAMD score and NIHSS score showed before intervention between two groups （all P〉0.05）.The HAMD score and NIHSS score after intervention were reduced compared with before intervention,and the scores in observation group were lower than which in control group （all P〈0.05 ）.Conclusion The application of self-efficacy theory combined with rehabilitative training can effectively improve the depression status of patients,and can also promote the recovery.

关 键 词：脑卒中后抑郁 自我效能 康复护理 

分 类 号：R743.3[医药卫生—神经病学与精神病学]