CAJ | 학술논문

目的：探讨综合护理干预对卒中后抑郁患者的影响及其与神经功能缺损程度之间的关系。方法：选取首次脑卒中病例280例，其中卒中后抑郁患者135例，采用HAMD及NFA对患者入院时及综合护理干预后进行评分统计，干预时间为3周，研究干预对卒中后抑郁患者的影响及其与神经功能缺损程度之间的关系。结果：综合护理干预对卒中后抑郁患者的康复及神经功能缺损具有明显有效作用，差异具有统计学意义（P<0.05）；另外，卒中后抑郁可能会加重患者神经功能缺损症状或影响患者躯体功能的恢复，差异亦具有统计学意义（P<0.05）。结论：护理人员需要高度关注卒中后抑郁患者，需要早期发现患者抑郁的情绪，给予患者良好的心理护理、康复状况护理以及健康宣教，大力降低脑卒中后抑郁发生所造成的危害。
목적：탐토종합호리간예대졸중후억욱환자적영향급기여신경공능결손정도지간적관계。방법：선취수차뇌졸중병례280례，기중졸중후억욱환자135례，채용HAMD급NFA대환자입원시급종합호리간예후진행평분통계，간예시간위3주，연구간예대졸중후억욱환자적영향급기여신경공능결손정도지간적관계。결과：종합호리간예대졸중후억욱환자적강복급신경공능결손구유명현유효작용，차이구유통계학의의（P<0.05）；령외，졸중후억욱가능회가중환자신경공능결손증상혹영향환자구체공능적회복，차이역구유통계학의의（P<0.05）。결론：호리인원수요고도관주졸중후억욱환자，수요조기발현환자억욱적정서，급여환자량호적심리호리、강복상황호리이급건강선교，대력강저뇌졸중후억욱발생소조성적위해。
Objective:To investigate the relationship between the comprehensive nursing intervention in patients with post-stroke depression and nerve function deficit. Methods:280 cases of the first stroke cases were selected, of which 135 patients were post-stroke depression cases, HAMD and NFA were used to scoring and statistics and three weeks were spended on comprehensive nursing intervention, which were investigated the impact of the intervention on patients with PSD and relationships between PSD and neurological deficits. Results:The comprehensive nursing in-tervention played a significant role in the rehabilitation of patients with PSD and neurological deficit, the difference was statistically significant (P<0.05), the other studies PSD may aggravate the symptoms of neurological deficit of pa-tients, or influence recovery of physical function in patients, a statistically significant difference (P<0.05). Conclusion:Nurses need to be highly concerned on patients with PSD ,who needed early detection of patients with PSD, we should cost good psychological care, rehabilitation care as well as health promotion of missionary effort to reduce the harm caused by PSD.