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目的评价心理护理对老年脑卒中后抑郁(post-stroke depression,PSD)患者的康复作用。方法 36例老年PSD患者,采用随机数字表法分为对照组与观察组,各18例。对照组给予常规护理,观察组在对照组基础上强化心理护理干预,且针对每例患者心理给予个性化开导。观察两组患者干预前及干预16周后的汉密尔顿抑郁量表(HAMD)评分。结果干预前两组HAMD躯体性、精神性评分以及总评分比较差异均无统计学意义(P>0.05)。干预16周后两组HAMD躯体性、精神性评分以及总评分均低于干预前,差异均具有统计学意义(P<0.05);且干预16周后观察组精神性评分为(5.10±2.42)分、总评分为(9.16±3.43)分,均低于对照组的(7.44±4.20)、(12.01±3.56)分,差异均具有统计学意义(P<0.05)。结论对老年PSD患者开展心理干预,可有效改善患者的心理状态。
Objective To evaluate the effect of psychological nursing on the rehabilitation of post-stroke depression (PSD) in elderly patients. Methods Thirty-six elderly PSD patients were divided into control group and observation group by random number table method, 18 cases in each. The control group was given routine care, and the observation group strengthened the psychological nursing intervention on the basis of the control group, and each patient was psychologically given personalized enucleation. The Hamilton Depression Rating Scale (HAMD) score was observed before intervention and 16 weeks after intervention. Results There was no significant difference in somatic, psychic score and total score between the two groups before intervention (P> 0.05). After 16 weeks of intervention, the somatic and psychic scores of HAMD and the total scores of HAMD in both groups were lower than those before intervention (P <0.05), and the scores of psychic scores in the observation group were (5.10 ± 2.42) (9.16 ± 3.43) points lower than the control group (7.44 ± 4.20) and (12.01 ± 3.56) points respectively. The differences were statistically significant (P <0.05). Conclusion Psychological intervention in elderly PSD patients can effectively improve the psychological status of patients.