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目的研究人文关怀护理对脑卒中后抑郁病人心理状态、肢体运动功能以及护理满意度的影响。方法选择2014年4月到2016年3月期间实施人文护理关怀的脑卒中后抑郁(PSD)病人54例作为观察组,选择2013年4月~2014年3月未实施人文护理关怀的54例PSD病人作为对照组,观察组在常规护理干预基础上进行人文关怀护理,比较两组的抑郁状态、肢体用用功能恢复、日常生活活动能力以及护理满意度。结果人文关怀护理干预后:观察组的汉密尔顿抑郁量表(HAMD)和自我感觉负担量表(SPBS)评分显著的下降,且明显低于对照组,比较差异具有统计学意义(P<0.05);观察组的运动功能评定量表(FMA)评分和Barthe明显高于对照组,差异具有统计学意义(P<0.05);观察组与对照组的对护理的满意度分别是96.30%和83.33%,观察组的护理满意度明显的高于对照组,比较差异具有统计学意义(P<0.05)。结论人文关怀护理改善了PSD病人抑郁的心理状态、肢体运动功能恢复和日常生活活动能力,提高了护理满意度。
Objective To study the effect of humanistic care on psychological status, motor function and nursing satisfaction of patients with post-stroke depression. Methods Fifty-four patients with post-stroke depression (PSD) who performed humane nursing care from April 2014 to March 2016 were selected as the observation group and 54 patients who did not receive humane nursing care from April 2013 to March 2014 were selected as the observation group Patients as the control group, the observation group based on routine nursing interventions humane care nursing, depression, limb function recovery, activities of daily living and nursing satisfaction were compared. Results After the humanistic care intervention, the HAMD and SPBS scores of the observation group decreased significantly, which were significantly lower than those of the control group (P <0.05). The scores of motor function evaluation scale (FMA) and Barthe in observation group were significantly higher than those in control group (P <0.05). Satisfaction with nursing in observation group and control group was 96.30% and 83.33% respectively, The nursing satisfaction of the observation group was significantly higher than that of the control group, the difference was statistically significant (P <0.05). Conclusion Humanistic nursing care improves PSD patients’ mental state of depression, physical motor function recovery and activities of daily living, and improves nursing satisfaction.