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目的：探究和分析脑卒中后抑郁患者的识别及实施护理的临床效果。方法回顾性分析我科2012年11月至2014年3月就诊的70例脑卒中后抑郁的患者，随机分为对照组与观察组，各35例。其中对照组实施常规护理，观察组在对照组基础上实施综合护理。以汉密尔顿抑郁量表为工具进行抑郁程度评定，连续观察8周。结果实施护理后4周、8周观察组患者的汉密尔顿抑郁量表评分明显优于对照组，差异均有统计学意义（P<0.05）。结论应用综合护理模式对脑卒中后抑郁的患者实施护理的临床效果非常明显。“,”Objective Probe and analyze the clinical effect of nursing implementation and the recognition of poststroke depression patients. Methods Analyze retrospectively 70 cases of poststroke depression patients that were treated in our department in November 2012- March 2014, and al patients were randomly divided into the control group and the observation group, and every group had 30 cases. The control group was implemented the usual care, then the observation group was used integrated care on the basis of the control group. Use hamilton depression scale as a tool to assess the degree of depression, and observe continuously the clinical effect of two groups for eight weeks. Results After four weeks, eight weeks of the implementation of nursing, the hamilton depression scale score of the observation group was significantly better than that of the control group, the difference had statistical significance (P<0.05). Conclusions Use integrated care for poststroke depression patients,and the clinical effect is very obvious.