人文关怀护理在脑卒中后抑郁症护理中的应用效果

张燕晓; 袁静; 李经乐

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人文关怀护理在脑卒中后抑郁症护理中的应用效果

护理研究 | 更新时间：2022-11-04

- 人文关怀护理在脑卒中后抑郁症护理中的应用效果
- Effects of humanistic care for patients with post-stroke depression
- 保健医学研究与实践 2022年19卷第4期页码：113-116
- 作者机构：
  
  平顶山市第一人民医院神经内科
- 作者简介：
- 基金信息：
  
  河南省科技攻关计划项目(162102310158)
- DOI：
  中图分类号： R473.74
- 纸质出版日期：2022，
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张燕晓, 袁静, 李经乐. 人文关怀护理在脑卒中后抑郁症护理中的应用效果[J]. 保健医学研究与实践, 2022,19(4):113-116.

Zhang Yanxiao, Yuan Jing, Li Jingle. Effects of humanistic care for patients with post-stroke depression[J]. Health Medicine Research and Practice, 2022,19(4):113-116.
张燕晓, 袁静, 李经乐. 人文关怀护理在脑卒中后抑郁症护理中的应用效果[J]. 保健医学研究与实践, 2022,19(4):113-116. DOI：

Zhang Yanxiao, Yuan Jing, Li Jingle. Effects of humanistic care for patients with post-stroke depression[J]. Health Medicine Research and Practice, 2022,19(4):113-116. DOI：

摘要

目的探讨人文关怀护理在脑卒中后抑郁症护理中的应用效果。方法选取2019年10月—2020年10月平顶山市某医院收治的脑卒中后抑郁症患者126例为研究对象

根据不同护理方式分为对照组和研究组

每组63例。对照组患者给予常规护理

研究组患者给予人文关怀护理

2组患者均持续护理8周。比较2组患者护理前后改良Barthel指数评定量表(MBI)、美国国立卫生院神经功能缺损评分量表(NIHSS)、汉密顿抑郁量表(HAMD)、抑郁自评量表(SDS)及焦虑自评量表(SAS)评分

比较2组患者护理期间遵医率。结果护理前

2组患者HAMD、MBI及NIHSS评分比较

差异均无统计学意义(P>0.05);护理后

2组患者HAMD及NIHSS评分均低于护理前

且研究组低于对照组

差异均有统计学意义(P<0.05);护理后

2组患者MBI评分均高于护理前

且研究组高于对照组

差异均有统计学意义(P<0.05)。研究组患者护理期间遵医率为96.8%

高于对照组的82.6%

差异有统计学意义(χ2=5.489

P=0.019)。护理前

2组患者SDS及SAS评分比较

差异均无统计学意义(P>0.05);护理后

2组患者SDS及SAS评分均低于护理前

且研究组低于对照组

差异均有统计学意义(P<0.05)。结论对脑卒中后抑郁症患者行人文关怀护理

可提高护理质量

改善患者负性情绪

提高生活自理能力

值得在临床上推广应用。

Abstract

Objective To explore the effects of humanistic care nursing in the care of post-stroke depression. Methods One hundred and twenty-six cases of post-stroke depression patients admitted to a hospital in Pingdingshan from October 2019 to October 2020 were selected as the study subjects and were divided into a control group and a study group according to different nursing methods

with 63 cases in each group. The patients in the control group were given conventional care and the patients in the study group were given humanistic care

and the patients in both groups were continuously cared for 8 weeks. The modified Barthel Index（MBI）

National Institutes of Health Stroke Scale（NIHSS）

Hamilton Depression Rating Scale（HAMD）

Self-Rating Depression Scale（SDS） and Self-Rating Anxiety Scale（SAS） scores were compared between the two groups before and after care

and the compliance rates during care compared between the two groups. Results Before care

there was no statistically significant difference between the HAMD

MBI and NIHSS scores of the two groups（P>0.05）; after care

the HAMD and NIHSS scores of the two groups were lower than before care

and those of the study group were lower than those of the control group

with statistically significant differences（P<0.05）; after care

the MBI scores of the two groups were higher than before care and higher in the study group than in the control group

and the differences were statistically significant（P<0.05）. The compliance rate of patients in the study group was 96.8% during care

which was higher than that of 82.6% in the control group

and the difference was statistically significant（χ2=5.489

P=0.019）. Before care

there was no statistically significant difference in SDS and SAS scores between the 2 groups（P >0.05）; after care

SDS and SAS scores were lower in both groups than before care and lower in the study group than in the control group

with statistically differences（P<0.05）. Conclusion Humanistic care for patients with post-stroke depressed can improve the nursing effect

improve negative emotions and enhance self-care ability

and is worth promoting in clinical practice.

关键词

人文关怀护理脑卒中后抑郁症焦虑自评量表抑郁自评量表

Keywords

Humanistic care nursingPost-stroke depressionSelf-rating anxiety scaleSelf-rating depression scale

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