医联体联合干预模式应用于脑卒中后抑郁患者的康复效果评价  

Evaluation of rehabilitation effect of medical alliance combined with intervention model in patients with post-stroke depression

作　　者：郭梦 渠井泉 邬军锋 GUO Meng;QU Jingquan;WU Junfeng(Department of Community,Health Service Center,Shanyang Town,Jinshan District,Shanghai 201508,China;Department of Neurology,Jinshan Hospital Affiliated to Fudan University,Shanghai 201508,China)

机构地区：[1]上海市金山区山阳镇社区卫生服务中心社区科,上海201508 [2]复旦大学附属金山医院神经内科,上海201508

出　　处：《中国当代医药》2024年第35期52-56,共5页China Modern Medicine

基　　金：上海市金山区卫生健康委员会基金项目(JSKJ-KT YLT-2021-02)。

摘　　要：目的评估医联体联合干预模式应用于卒中后抑郁患者的康复效果。方法选取2022年1月至12月复旦大学附属金山医院收治的120例卒中后抑郁患者作为研究对象,按照随机数字表法分为对照组(60例)和试验组(60例)。对照组实施社区常规干预治疗,试验组实施医联体联合干预的方案。比较两组干预前后的治疗情况,比较两组汉密尔顿抑郁量表(HAMD)、美国国家健康研究所卒中量表(NIHSS)、运动功能评定量表(FMA)、巴氏量表(BI)评分。结果干预12个月后,试验组干预的总有效率高于对照组,差异有统计学意义(P<0.05)。干预3、6、12个月后,试验组HAMD、NIHSS评分低于对照组,FMA、BI评分高于对照组,差异有统计学意义(P<0.05)。结论运用医联体联合干预模式对脑卒中后抑郁患者开展早期干预,可以充分发挥医联体优势,调整患者的心理状态,促进患者神经功能的康复,提高卒中后抑郁患者社会适应能力,减轻社会和家庭的负担。Objective To evaluate the rehabilitation effect of medical alliance combined with intervention model in patients with post-stroke depression.Methods A total of 120 patients with post-stroke depression admitted to Jinshan Hospital of Fudan University from January 2022 to December 2022 were selected as the study objects,and they were divided into control group(60 cases)and experimental group(60 cases)according to random number table method.The control group received community routine intervention treatment,and the experimental group received the medical alliance combined with intervention model.The treatment conditions of the two groups before and after intervention were compared,and the Hamilton depression scale(HAMD),National Institutes of Health stroke scale(NIHSS),Fugl-Meyer motor function assessment(FMA),Barthel index(BI)scores were compared.Results After 12 months of intervention,the total effective rate of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).After 3,6 and 12 months of intervention,HAMD and NIHSS scores of experimental groups were lower than those of control group,and FMA and BI scores were higher than those of control group,with statistical significances(P<0.05).Conclusion The early intervention of patients with post-stroke depression with medical alliance combined with intervention model can give full play to the advantages of medical combination,adjust the psychological state of patients,promote the rehabilitation of neurological function,improve the social adaptability of patients with post-stroke depression,and reduce the burden of society and family.

关 键 词：卒中后抑郁 医联体模式 家庭医生 脑卒中康复 社会适应 

分 类 号：R749[医药卫生—神经病学与精神病学]