综合护理结合穴位按摩对脑卒中后抑郁患者的影响  

Effects of comprehensive nursing combined with acupoint massage on patients with post-stroke depression

作　　者：段岭焕[1] 金昌明[1] 刘萍英[2] 王清凤[3] Dnan Linghuan Jin Changming Liu Pingying Wang Qingfeng(Department of Rehabilitation, Daqing Longnan Hospital, Daqing 163453, China （ Duan LH, Jin CM the Fourth Ward of Orthopedics Department, Daqing Longnan Hospital, Daqing 163453, China （Liu PY Neurology Department, Daqing Longnan Hospital, Daqing 163453, China （ Wang QF)

机构地区：[1]大庆龙南医院康复科,163453 [2]大庆龙南医院骨科四病区,163453 [3]大庆龙南医院神经内科,163453

出　　处：《中华现代护理杂志》2016年第35期5140-5143,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨综合护理结合穴位按摩对脑卒中后患者抑郁状态的影响。方法选取2015年5月—2016年3月在大庆龙南医院康复科住院的76例脑卒中后抑郁患者作为研究对象，按照随机数表法分为观察组和对照组，各38例。观察组采用综合护理及穴位按摩；对照组采用脑卒中常规心理护理，疗程均为4周。采用汉密尔顿抑郁量表（hamilton depression scale,HAMD）和美国国立卫生研究院卒中量表（national institute of health stroke scale,NIHSS）评价脑卒中患者治疗前后抑郁症改善程度及神经功能恢复程度。结果治疗4周后，观察组HAMD评分（4.88±1.63）分，NIHSS评分（6.28±2.76）分，低于对照组HAMD评分（15.58±3.94）分和NIHSS评分（17.98±4.37）分，差异均有统计学意义（P〈0.05）；观察组抑郁程度改善总有效率为84.2%，神经功能缺损改善总有效率为89.5%，均优于对照组，差异有统计学意义（P〈0.05）。结论综合护理结合穴位按摩对脑卒中后抑郁患者的疗效明确，优于常规心理护理。Objective To explore the effects of comprehensive nursing combined with acupoint massage on patients with post-stroke depression. Methods Totally 76 patients with post-stroke depression from May 2015 to March 2016 hospitalized in the rehabilitation department of Daqing Longnan Hospital, were divided into the observation group and the control group according to random number table, with 38 cases in each group. Patients in the observation group received comprehensive nursing and acupoint massage, while patients in the control group received routine psychological nursing, and the course of treatment were all four weeks. Hamilton depression scale （HAMD） and national institute of health stroke scale （NIHSS） in America were used to evaluate the improvement of depression and improvement of neuronal functional recovery. Results Four weeks after treatment, the HAMD score （4.88±1.63） and NIHSS score （6.28± 2. 76） in the observation group were lower than the HAMD score （15.58±3.94） and NIHSS score （ 17.98± 4.37） in the control group （P〈0.05）. The＇total efficiency of improvement in depression （84.2%） and total efficiency of neurological improvement （89.4%） in the observation group, were higher than that in the control group （P〈 0.05 ）. Conclusions Comprehensive nursing combined with acupoint massage has a better curative effect in patients with post-stroke depression than the routine psychological nursing.

关 键 词：卒中 抑郁 综合护理 穴位按摩 心理护理 

分 类 号：R473.74[医药卫生—护理学]