认知护理早期干预对脑卒中后抑郁和认知障碍的影响  

Early intervention of cognitive therapy on depression and cognitive disfunction after stroke

作　　者：唐丽莹[1] 张骞倩[1] 张优琴[1] 叶江洪[1] 闻秀艺[1] 

机构地区：[1]解放军第411医院神经内科,上海200081

出　　处：《护士进修杂志》2003年第9期781-783,共3页Journal of Nurses Training

摘　　要：目的观察用认知护理早期干预对脑卒中后抑郁状态和认知功能障碍的影响。方法选择脑卒中发病时间≤ 72h患者 2 0 0例 ,随机分为实验组 (10 0例 )和对照组 (10 0例 ) ,对两组患者进行健康教育并给予常规治疗护理 ,对实验组用认知护理早期干预 ,两周后对两组患者用SDS和MMSE评定。结果入组前两组脑卒中评分、日常生活能力表评分差异无意义 ;两周后实验组PSD患者SDS评分明显低于对照组 (P <0 .0 5 ) ,两组PSD患者MMSE评分差异有意义 (P <0 .0 5 )。结论对脑卒中患者早期用认知护理干预可明显改善脑卒中后抑郁状态和认知功能障碍。Objective To observe the effect of early psychological nursing with cognitive therapy on depression and cognitive disfunction after stroke. Methods 200 stroke cases were randomly divided into the experimental group (100 cases ) and the control group (100 cases ). Health education related to routine nursing and therapy was given to both group. The experimental group received psychological nursing with cognitive therapy in addition. The two group were evaluated by SDS and MMSE after two weeks. Results ADL scores had no marked difference in both groups when admission. After two weeks, SDS scores of the experimental group were much lower than that of control group( P <0.05); MMSE scores of both groups had significant difference( P <0.05). Conclusion These results suggest that early cognitive therapy can significantly improve the depression and cognitive function after stroke.

关 键 词：认知疗法 心理护理 脑卒中 抑郁 认知障碍 

分 类 号：R749.13[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]