改善认知行为的心理护理在青年脑卒中后抑郁中的效果  

Effect of Psychological Nursing for Improving Cognitive Behavior in Young People’s Depression After Stroke

作　　者：李旭静[1] 李月华[1] 刘学琴[1] 汤丽丽[1] LI Xujing;LI Yuehua;LIU Xueqin;TANG Lili(Department of Neurology,Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450001,China)

机构地区：[1]郑州大学第二附属医院神经内科,河南郑州450001

出　　处：《河南医学研究》2021年第21期4016-4019,共4页Henan Medical Research

摘　　要：目的分析改善认知行为的心理护理在青年脑卒中后抑郁中效果。方法选取2017年9月至2020年8月郑州大学第二附属医院收治的90例青年脑卒中后抑郁患者作为研究对象,依据随机数字表法分为研究组与对照组,各45例。对照组接受常规护理干预,研究组在对照组基础上接受改善认知行为的心理护理。比较两组护理前、护理1周、1个月心理状况[汉密尔顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、简易精神状态检查量表(MMSE)、脑卒中专用生活质量量表(SS-QOL)、Barthel指数(BI)评分。结果两组时间、组间、交互作用HAMD评分、HAMA评分比较,差异有统计学意义(P<0.05);护理1周、1个月,研究组HAMD评分、HAMA评分低于对照组,差异有统计学意义(P<0.05)。两组时间、组间、交互作用MMSE评分比较,差异有统计学意义(P<0.05);护理1周、1个月,研究组MMSE评分高于对照组,差异有统计学意义(P<0.05)。两组时间、组间、交互作用SS-QOL评分、BI评分比较,差异有统计学意义(P<0.05);护理1周、1个月,研究组SS-QOL评分、BI评分高于对照组,差异有统计学意义(P<0.05)。结论改善认知行为的心理护理应用于青年脑卒中后抑郁患者中,可改善心理状态,增强认知功能,提高生活质量与日常生活能力。Objective To analyze the effects of psychological care for improving cognitive behavior in young people with post-stroke depression.Methods A prospective selection of 90 young patients with post-stroke depression in our hospital from September 2017 to August 2020 were selected as the research objects.According to the random number table method,they were divided into study groups and the control group,with 45 cases in each group,of which the control group received routine nursing intervention,the psychological group received psychological nursing to improve cognitive behavior on the basis of the control group.To compare the psychological status of the two groups before nursing,1 week and 1 month after nursing[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],mini mental state examination scale(MMSE),and quality of life for stroke scale(SS-QOL),Barthel index(BI)score.Results There was a statistically significant difference in the time,between groups,the interaction HAMD score and HAMA score between the two groups(P<0.05);the HAMD score and HAMA score of the psychological group of 1 week and 1 month of nursing care were lower than those of the control group(P<0.05).The time,inter-group,and interaction MMSE scores of the two groups were compared,and the difference was statistically significant(P<0.05);MMSE scores of 1 week and 1 month of nursing were higher than those of the control group(P<0.05).The SS-QOL scores and BI scores of the inter-and interaction effects were statistically significant(P<0.05);the SS-QOL scores and BI scores of the psychological group for 1 week and 1 month were higher than those of the control group(P<0.05).Conclusion The use of psychological care for improving cognitive behavior in young patients with post-stroke depression can improve their mental state,enhance cognitive function,and improve the quality of life and ability of daily living.

关 键 词：脑卒中 抑郁 认知行为理论 心理护理 青年 

分 类 号：R684.3[医药卫生—骨科学]