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以家庭为中心护理模式对脑卒中后抑郁的临床效果观察 预览

The clinical effect of family centered nursing model on post-stroke depression
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摘要 目的探讨以家庭为中心的护理模式对脑卒中后抑郁的临床效果。方法选取2015年8月至2016年8月泰山医学院附属成武医院收治的脑卒中后抑郁病人84例,采用随机数字表法分为观察组与对照组,每组各42例。对照组采用常规护理,观察组则采用以家庭为中心的护理模式干预。分别比较干预前后两组病人抑郁情况、神经功能缺损情况、日常生活活动能力以及生活质量情况。结果干预后观察组与对照组的抑郁自评量表(SDS)评分分别为(9.0±3.2)分、(15.1±3.6)分,均明显低于干预前,而观察组又明显低于对照组,均差异有统计学意义(均P<0.05)。干预后观察组与对照组的美国国立卫生研究院卒中量表(NIHSS)评分分别为(3.7±1.2)、(5.3±1.7)分,均明显低于干预前,而观察组又明显低于对照组,均差异有统计学意义(均P<0.05)。干预后观察组与对照组的Barthel评分分别为(68.4±5.2)、(57.9±6.5)分,均明显高于干预前,而观察组又明显高于对照组,均差异有统计学意义(均P<0.05)。干预后观察组各项SF-36评分均高于对照组,组间对比差异有统计学意义(P<0.05)。结论以家庭为中心的护理模式应用于脑卒中后抑郁病人中,可有效缓解病人抑郁情绪,促进神经功能恢复,改善日常生活活动能力以及生活质量。 Objective To study and analyze the clinical effect of family centered nursing model on post-stroke depression.Methods84 cases of depression in patients with stroke from August 2015 to August 2016 in our hospital according to randomly method w divided into the study group and control group,with 42 cases in each group.The control group received routine nursing care,while the study group used nursing intervention model of family centered intervention respectively.neurological function,activities of daily living and quality of life.Results After the intervention,the study group and control group were(9.0±3.2),(15.1±3.6)which were significantly lower than those before intervention,and the study group was significantly lower than the control group,statistical significance(P<0.05).fter the intervention NIHSS scores were(3.7±1.2),(5.3±1.7),which were significantly lower than those before intervention,and the study group was significantly lower than the control group here was statistical significance between the groups(P<0.05).After the intervention group and control group of were(68.4±5.2),(57.9±6.5),which were significantly higher than those before intervention,and the study group was significantly higher than the control group,there was statistical significance between the groups(P<0.05).he SF-36 score were higher than the control group,there was statistical significance between the groups.Conclusion Family centered nursing model can effectively alleviate depression patients,promote the recovery of neurological function,improve the activities of daily living and quality of life in patients with post-stroke depression.
作者 曲海涛 QU Haitao(Department of Neurology,Taishan Medical College Affiliated Chengwu Hospital,Taian,Shandong 274200,China)
出处 《安徽医药》 CAS 2019年第7期1404-1407,共4页 Anhui Medical and Pharmaceutical Journal
关键词 卒中 脑卒中后抑郁 家庭护理 神经功能缺损 日常生活活动能力 生活质量 Stroke Post-stroke depression Family care Neurological impairment Activities of daily living Quality of life
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