循证心理护理对重型颅脑损伤术后并发抑郁患者的影响  

The effect of evidence-based psychological nursing in severe craniocerebral injury patients with depression

作　　者：董慧君[1] DONG Huijun(Department of Critical Medcine,the People’s Hospital of Zhengzhou City,Zhengzhou 450000,China)

机构地区：[1]郑州人民医院重症医学科,郑州450000

出　　处：《国际精神病学杂志》2020年第4期829-831,共3页Journal Of International Psychiatry

基　　金：2018年河南省医学科技攻关计划项目(编号:2018020828)。

摘　　要：目的分析术后并发抑郁的重型颅脑损伤患者实施循证心理护理的效果。方法选取2018年1月~2019年1月我院收治的术后并发抑郁症的重型颅脑损伤患者100例,根据其入院就诊单双号,予以分组,单号纳入控制组;就诊双号纳入试验组。控制组实施常规护理,试验组实施循证心理护理。比较两组抑郁量表(SDS)、焦虑量表(SAS)、生活能力量表(ADL)、神经功能缺损量表(NFD)等评分变化、生存质量及总满意率。结果两组治疗后SDS、SAS、ADL、NFD评分、各项目生存质量评分都有改善,试验组改善优于控制组(P<0.05)。试验组总满意率高于控制组(P<0.05)。结论给重型颅脑损伤术后并发抑郁患者实施循证心理护理,可更好的改善患者的抑郁、焦虑症状,提高其生活能力和神经功能,提升其生活质量,患者满意度高。Objective To analyze the effect of evidence-based psychological nursing in severe craniocerebral injury patients with depression. Methods From January 2018 to January 2019,100 severe craniocerebral injury patients with depression after operation were selected. According to the number of the admission,all the patients were divided into the control group and the study group. Routine nursing was carried out in the control group,and evidencebased psychological nursing was carried out in the study group. The scores of SDS,SAS,ADL and NFD were compared between two groups. Results The scores of SDS,SAS,ADLNFD and the quality of life were improved in both of two groups,the improvement and total satisfaction rate in study group were better than those of the control group(P< 0.05). Conclusion The evidence-based psychological nursing can improve the symptoms of depression/anxiety,life ability,neurological function and quality of life in severe craniocerebral injury patients with depression after operation.

关 键 词：重型颅脑损伤 手术 抑郁症 循证心理护理 临床效果 

分 类 号：R749.12[医药卫生—神经病学与精神病学]