CAJ | 학술논문

目的探讨心理护理对脑卒中后焦虑、抑郁患者预后的影响及其临床意义.方法将102名脑卒中患者随机分为对照组53例,干预组49例.两组均采取脑卒中后常规治疗和护理,同时干预组实施心理护理.在治疗前,治疗后1个月,治疗后6个月分别对两组患者进行综合医院焦虑抑郁量表(HADS),改良爱丁堡斯堪的那维亚卒中量表(MESSS)评定.结果治疗前,焦虑抑郁评分干预组明显高于对照组(P＜0.05),余无明显差异(P＞0.05).1个月后,焦虑抑郁评分和卒中量表评分两组差异无显著性(P＞0.05).6个月后,卒中量表评分,干预组明显低于对照组(P＜0.05),余差异无显著性(P＞0.05).结论心理护理不仅明显改善脑卒中后焦虑和抑郁状态,同时对神经功能的恢复有积极的促进作用.
목적 탐토심리호리대뇌졸중후초필、억욱환자예후적영향급기림상의의.방법 장102명뇌졸중환자수궤분위대조조53례,간예조49례.량조균채취뇌졸중후상규치료화호리,동시간예조실시심리호리.재치료전,치료후1개월,치료후6개월분별대량조환자진행종합의원초필억욱량표(HADS),개량애정보사감적나유아졸중량표(MESSS)평정.결과 치료전,초필억욱평분간예조명현고우대조조(P＜0.05),여무명현차이(P＞0.05).1개월후,초필억욱평분화졸중량표평분량조차이무현저성(P＞0.05).6개월후,졸중량표평분,간예조명현저우대조조(P＜0.05),여차이무현저성(P＞0.05).결론 심리호리불부명현개선뇌졸중후초필화억욱상태,동시대신경공능적회복유적겁적촉진작용.
Objective To approach the influence to prognosis and clinical contribution of psychic nurs-ing for the post-stroke patients suffering from anxiety and depression. Methods 102 patients with cerebral ape-piety were randomly assigned to the control group (n =53) and the experiment group (n =49) . Both groups were received conventional post-stroke treatment and nursing, at the same time the psychic nursing was given to the experiment group. Evaluate both groups with the HADS and MESSS before the treatment, 1 month and 6 months af-ter the treatment. Results Before the treatment, anxious and depressed scores of the experiment group were con-spicuous higher than the control group (P ＜0. 05), others had no conspicuous difference. After 1 month, anxious and depressed scores and stroke scale scores had no conspicuous difference in both groups (P ＞ 0. 05) . After 6 months, stroke scale scores of the experiment group were conspicuous lower than the control group (P ＜ 0. 05), others had no couspicuous difference. Conclusion The psychic nursing obviously improves the post-stroke state of anxiety and depression and has energetic promotion to the recovery of nerve function.