基于认知-行为的多层次护理对卒中后抑郁的效果影响  

Influence of Multi-Level Nursing Based on Cognition-Behavior on the Effect of Post-Stroke Depression

作　　者：吴华丽[1] 彭君[1] WU Huali;PENG Jun(Department of Neurology,Tianyou Hospital Affiliated to Wuhan University of Science and Technology,Wuhan Hubei 430064,China)

机构地区：[1]武汉科技大学附属天佑医院神经内科,湖北武汉430064

出　　处：《中国卫生标准管理》2024年第11期190-194,共5页China Health Standard Management

基　　金：湖北省卫健委科研项目面上项目(WJ2019M257)

摘　　要：目的探讨基于认知-行为的多层次护理干预对卒中后抑郁(post-stroke depression,PSD)的效果影响。方法选择武汉科技大学附属天佑医院神经内科2019年1月—2023年1月住院的110例PSD患者作为研究对象,对上述患者入院的前后顺序进行标号,随机分为2组,对照组(n=55)予以常规护理措施干预,在此基础上观察组(n=55)予以基于认知-行为的多层次护理干预。2组患者干预前和干预后1个月,分别采用汉密尔顿抑郁量表(Hamilton depression scale,HAMD)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、简易精神状态检查量表(mini-mental state examination,MMSE)、Barthel指数(barthel index,BI)、生活质量综合评定问卷-74(generic quality of life inventory 74,GQOLI-74)评估患者的精神症状、认知状况、日常生活能力、生活质量。结果与观察组护理干预前和对照组干预后比较,观察组护理干预后HAMD(16.01±1.97)分、HAMA(14.37±1.48)分均明显降低(P<0.05);观察组护理干预后MMSE(28.74±3.16分)、BI(83.09±7.81分)及生活质量评分均明显升高(P<0.05)。结论基于认知-行为的多层次护理干预可明显改善PSD患者的精神症状、认知状况及日常生活能力,同时生活质量也得到明显地提高。Objective To explore the effect of cognitive-behavioral multi-level nursing intervention on post-stroke depression(PSD).Methods A total of 110 PSD patients hospitalized in the department of neurology,Tianyou Hospital Affiliated to Wuhan University of Science and Technology from January 2019 to January 2023 were selected as the research object.The order of admission of the above patients was labeled and randomly divided into two groups,and the control group(n=55 cases)was given routine nursing intervention.On this basis,the observation group(n=55 cases)was given multi-level nursing intervention based on cognition and behavior.Before intervention and one month after intervention of two groups,themental symptoms,cognitive status,daily living ability and life quality of the patients were evaluated by Hamilton depression scale(HAMD),hamilton anxiety scale(HAMA),mini-mental state examination scale(MMSE),barthel index(BI)and general quality of life inventory 74(GQOLI-74).Results Compared with the observation group before nursing intervention and the control group after nursing intervention,the HAMD(16.01±1.97)points and HAMA(14.37±1.48)points in the observation group decreased significantly(P<0.05).The MMSE(28.74±3.16)points,BI(83.09±7.81)points and life quality oscores in the observation group increased significantly(P<0.05).Conclusion Multi-level nursing intervention based on cognition and behavior can significantly improve the mental symptoms,cognitive status and daily living abilities of PSD patients,and at the same time,the life quality of the patients has also been significantly improved.

关 键 词：卒中后抑郁 认知行为 多层次护理 生活质量 康复 精神症状 

分 类 号：R473[医药卫生—护理学]