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目的分析综合性康复护理对脑卒中合并焦虑抑郁患者的疗效。方法选取我院2014年1月至2015年1月脑卒中合并焦虑抑郁患者共100例,按照随机数字表法平均分为实验组和对照组。对照组予以常规药物治疗和护理;实验组在常规药物治疗和护理的基础上,增加综合性康复护理。分别于护理干预前及开始后的2周、4周、6周对两组患者评估汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD);两组患者分别于护理干预前及开始6周后评估抑郁自评量表(SDS)、焦虑自评量表(SAS)。并对比两组患者护理干预6周后的临床疗效。结果两组患者实施护理干预前HAMA、HAMD、SDS和SAS组间对比无明显差异(P>0.05)。两组患者护理干预后的2周、4周、6周的HAMA和HAMD评分较护理干预前均逐渐下降(P<0.05),且实验组护理干预后的2周、4周、6周的HAMA和HAMD评分显著低于对照组(P<0.05)。两组患者护理干预6周后的SDS和SAS评分显著低于护理干预前(P<0.05),且实验组护理干预6周后的SDS、SAS评分显著低于对照组(P<0.05)。实验组护理干预6周后的焦虑和抑郁症状改善率显著高于对照组(P<0.05)。结论在常规药物治疗及护理的基础上,增加综合性康复护理可更有效地改善脑卒中患者焦虑抑郁情绪,更有效地提高患者的临床疗效,因此值得在临床护理工作中推广和应用。
Objective To analyze the curative effect of comprehensive rehabilitation nursing on stroke patients with anxiety and depression. Methods A total of 100 patients with stroke and anxiety and depression in our hospital from January 2014 to January 2015 were selected and randomly divided into experimental group and control group according to the random number table method. The control group was given conventional drug treatment and nursing; experimental group based on conventional drug treatment and nursing, add comprehensive rehabilitation care. HAMA and HAMD were assessed in two groups before and at 2 weeks, 4 weeks and 6 weeks after the intervention. The two groups were evaluated before nursing intervention And self-rating depression scale (SDS) and self-rating anxiety scale (SAS) after 6 weeks. The clinical efficacy of the two groups of patients after 6 weeks of intervention was compared. Results There was no significant difference in HAMA, HAMD, SDS and SAS between the two groups before nursing intervention (P> 0.05). The scores of HAMA and HAMD at 2 weeks, 4 weeks and 6 weeks after nursing intervention in both groups were significantly lower than those before nursing intervention (P <0.05), and the HAMA and HAMA scores at 2, 4 and 6 weeks after nursing intervention And HAMD score was significantly lower than the control group (P <0.05). The scores of SDS and SAS after 6 weeks of nursing intervention in both groups were significantly lower than those before nursing intervention (P <0.05), and the scores of SDS and SAS in the experimental group after 6 weeks of nursing intervention were significantly lower than those in the control group (P <0.05). The improvement rate of anxiety and depression after 6 weeks of nursing intervention in experimental group was significantly higher than that in control group (P <0.05). Conclusion On the basis of conventional drug treatment and nursing, adding comprehensive rehabilitation nursing can improve the anxiety and depression emotion of stroke patients more effectively and improve the clinical curative effect of patients more effectively. Therefore, it is worth to be popularized and applied in clinical nursing.