老年脑卒中后抑郁患者的康复护理  

Research of rehabilitation nursing in elderly patients with post.stroke depression

作　　者：夏颖华[1] 苏微微[1] 齐颖[1] 金鑫[1] 姚远[1] 张蕴[1] 张明义[1] 

机构地区：[1]天津医科大学总医院保健医疗部,天津市老年病学研究所,300052

出　　处：《中国现代神经疾病杂志》2013年第10期905-908,共4页Chinese Journal of Contemporary Neurology and Neurosurgery

摘　　要：探讨运动锻炼和心理治疗相结合的护理方法,对老年脑卒中后抑郁患者心理康复疗效的影响。共80例脑卒中后抑郁患者分为康复治疗组和常规治疗组,分别于入院时和入院后3个月进行日常生活活动能力(Barthel指数)和抑郁状态[汉密尔顿抑郁量表(HAMD,17项)]评价。结果显示,入院时康复治疗组与常规治疗组之间Barthel指数[58.69(51.57,57.40)对59.02(55.15,61.27)]和HAMD评分[13.52(10.87,15.02)对13.85(10.50,14.42)],差异无统计学意义(P>0.05);治疗3个月后康复治疗组患者Barthel指数[71.28(69.20,73.02)对58.31(57.53,63.37)]和HAMD评分[8.05(7.32,10.78)对14.98(12.68,17.80)]明显改善,与常规治疗组之间差异有统计学意义(P<0.05)。提示运动锻炼、心理康复与药物治疗相结合有利于缓解脑卒中后抑郁症状,促进神经功能恢复,改善预后。Objective To investigate the influence of rehabilitation nursing including psychological counseling and exercise training on post.stroke depression patients. Methods Eighty patients with post. stroke depression were divided into 2 groups: rehabilitation group(combination of conventional drug treatment and auxiliary exercise and phychological therapy, N = 40) and control group(drug and auxiliary exercise therapy, N = 40). These patients were assessed by using Barthel Index(BI) and Hamilton Depression Rating Scale(HAMD) on admission and 3 months after treatment respectively. Results There was no statistically significant difference in the BI and HAMD score between rehabilitation group and control group on admission [BI: 58.69(51.57, 57.40) vs 59.02(55.15, 61.27), HAMD: 13.52(10.87, 15.02) vs 13.85(10.50, 14.42); P > 0.05]. After 3 months' treatment, the ability of daily living was obviously improved and HAMD score decreased in rehabilitation group, and the differences with control group were statistically significant [BI: 71.28(69.20, 73.20) vs 58.31(57.53, 63.37); HAMD: 8.05(7.32, 10.78) vs 14.98(12.68, 17.80); P < 0.05]. Conclusion Combination of exercise training, psychological rehabilitation and drug treatment is beneficial for alleviating post. stroke depression and improving the recovery of neurological function and prognosis.

关 键 词：卒中 抑郁 身体锻炼 心理疗法 康复护理 

分 类 号：R473.74[医药卫生—护理学]