出院计划对卒中后抑郁病人预后的影响  

Influence of discharge plan on prognosis of post-stroke patients with depression

作　　者：佘秋群[1] 肖莉[1] 田艳[1] 

机构地区：[1]泸州医学院附属医院

出　　处：《全科护理》2015年第29期2909-2911,共3页Chinese General Practice Nursing

基　　金：泸州医学院附属医院立项课题;编号:[2012]134号

摘　　要：[目的]探讨出院计划对卒中后抑郁病人预后的影响。[方法]将160例脑卒中的病人按住院单双日分为观察组和对照组,每组80例。对照组给予神经内科常规护理,观察组在常规护理的基础上实施出院计划,并严格按计划执行,分别在干预前、干预后3个月和6个月进行抑郁(Hamilton抑郁量表)及日常生活能力(BI量表)评定,评估抑郁的发病率。[结果]观察组病人干预3个月后抑郁症发病率为21.79%,较对照组48.05%的发病率低(P<0.05);6个月后观察组病人发病率为17.95%,而对照组发病率为51.95%,高于观察组(P<0.05);干预3个月后观察组病人抑郁评分为6.22分±6.71分,较对照组(9.05分±6.84分)的低(P<0.05);6个月后观察组病人评分为5.04分±5.63分,对照组为9.09±5.66分,高于观察组(P<0.05);干预3个月后观察组病人日常生活能力评分为52.56分±13.91分,较对照组(42.60分±16.56分)的高(P<0.05);6个月后观察组病人评分为60.64分±16.91分,而对照组为49.29±17.52分,低于观察组(P<0.05)。[结论]实施出院计划可以有效降低卒中后抑郁发病率,减轻抑郁症状,改善病人日常生活能力。Objective:To probe into the influence of discharge plan on prognosis of post stroke patients with de-pression.Methods:A total of 1 60 stroke patients were divided into the observation group and control group by the hospitalization single or double days,80 cases in each.The control group received the routine nursing of neu-rology,while the observation group implemented the discharge plan on the basis of the routine nursing,and strictly carried out the plan.Then had the assessment of the depression (Hamilton depression scale)and activity of daily living (BI scale)before the intervention,3 months and 6 months after the intervention,to assess the in-cidence of depression.Results:The incidence of depression of observation group was 21.79% at 3 months after the intervention,which was lower than 48.05% of control group(P <0.05).The incidence of depression of ob-servation group was 17.95% at 6 months after the intervention,while the incidence in control group was 51.95%, which was higher than that of observation group(P <0.05).At 3 months after the intervention,the patients’ depression score of observation group was 6.22 ± 6.71,which was lower than that (9.05 ± 6.84)of control group (P <0.05).At 6 months after the intervention,the patients’depression score in observation group was 5.04±5.63,while the score of control group was 9.09±5.66,which was higher than that of observation group (P <0.05).At 3 months after the intervention,the patients’ability of daily living score of observation group was 52.56±13.91,which was higher than that (42.60±1 6.56)of control group (P <0.05).At 6 months after the intervention,the patients’ability of daily living score of observation group was 60.64 ± 1 6.91,while the score of control group was 49.29 ±17.52,which was lower than that of observation group (P <0.05).Conclu-sion:The implementation of the discharge plan can effectively reduce the incidence of poststroke depression,re-lieve the symptoms of depression and improve the patients’activity of daily living.

关 键 词：卒中后抑郁 出院计划 护理 

分 类 号：R473.74[医药卫生—护理学]