系统化护理改善老年脑卒中抑郁患者生活质量的效果观察  

Observation on the effect of systematic nursing on improving quality of life in elderly patients with post-stroke depression

作　　者：黄一鲜[1] 夏春燕 高莹媛 Huang Yixian;Xia Chunyan;Gao Yingyuan(The Third Department of Neurology,Jiangbin Hospital of Guangxi Zhuang Autonomous Region 530021)

机构地区：[1]广西壮族自治区江滨医院神经内三科

出　　处：《中国社区医师》2019年第34期142-143,145,共3页Chinese Community Doctors

摘　　要：目的:探讨系统化护理对改善老年脑卒中后抑郁患者生活质量效果的影响。方法:2013年1月-2015年6月收治脑卒中后抑郁患者120例,随机数字表法分为两组各60例。观察组给予系统化护理干预,对照组给予常规护理干预,两组疗程均为3个月。分别于干预前后用SF-36健康状况调查问卷进行生存质量调查,比较两组患者抑郁自评量表(SDS)评分,采用简易智能状态检查量表(MMSE)评测认知功能,使用日常生活能力(ADL)量表对生活能力进行评估。结果:观察组干预后SDS评分低于对照组,认知功能、ADL评分、生存质量均优于对照组,差异有统计学意义(P<0.05)。结论:对脑卒中后抑郁患者实施系统化护理,可更好地提高患者日常生活能力、认知功能,对患者抑郁状况及生存质量的改善具有重要临床意义。Objective:To explore the effect of systematic nursing on the improvement of quality of life in elderly patients with post-stroke depression.Methods:120 cases of post-stroke depression were selected from January 2013 to June 2015,they were randomly divided into the two groups with 60 cases in each group.The observation group was given systematic nursing intervention.The control group was given routine nursing intervention.The course of treatment in both groups was 3 months.SF-36 health status questionnaire was used to investigate the quality of life before and after treatment.The SDS scores of the two groups were compared.Cognitive function was assessed using the Simple Intelligence Status Check Scale(MMSE)before and after treatment.Using ADL to evaluate the ability of living.Results:The SDS score of the observation group after treatment was lower than that of the control group,the difference was statistically significant(P<0.05).The cognitive function of the observation group was better than that of the control group after 6 months of treatment,the difference was statistically significant(P<0.05).After treatment,the ADL in the observation group was significantly better than that in the control group,the difference was statistically significant(P<0.05).The quality of life in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Systematic nursing can improve the ability of daily life and cognitive function of patients with post-stroke depression,which is of great clinical significance for the improvement of depression and quality of life.

关 键 词：脑卒中后抑郁 常规护理 系统化护理 日常生活能力 抑郁状况 

分 类 号：R47[医药卫生—护理学]