CAJ | 학술논문

目的探讨综合护理干预对急性脑卒中患者抑郁情绪、神经功能及日常生活能力的影响.方法将120例急性脑卒中患者随机分为对照组和实验组各60例.对照组给予神经内科常规护理,实验组给予综合护理干预.采用抑郁自评量表(SDS)、神经功能缺损量表(NIHSS)和日常生活能力(ADL)量表对所有患者在护理干预前后的抑郁状态、神经功能缺损和日常生活能力情况进行评价和比较.结果综合护理干预后,实验组患者的SDS各因子评分、NIHSS和ADL评分明显优于对照组,比较具有统计学差异(P＜0.05).结论综合护理干预急性脑卒中后患者疗效显著,有效地减少或消除了患者的抑郁情绪,增强主观能动性,使其积极配合治疗和促进神经功能的恢复,提高了患者的日常生活能力和生活质量.
목적 탐토종합호리간예대급성뇌졸중환자억욱정서、신경공능급일상생활능력적영향.방법 장120례급성뇌졸중환자수궤분위대조조화실험조각60례.대조조급여신경내과상규호리,실험조급여종합호리간예.채용억욱자평량표(SDS)、신경공능결손량표(NIHSS)화일상생활능력(ADL)량표대소유환자재호리간예전후적억욱상태、신경공능결손화일상생활능력정황진행평개화비교.결과 종합호리간예후,실험조환자적SDS각인자평분、NIHSS화ADL평분명현우우대조조,비교구유통계학차이(P＜0.05).결론 종합호리간예급성뇌졸중후환자료효현저,유효지감소혹소제료환자적억욱정서,증강주관능동성,사기적겁배합치료화촉진신경공능적회복,제고료환자적일상생활능력화생활질량.
Objective To explore the effect of comprehensive nursing intervention on depression,neurological function and activity of daily living of patients with acute stroke.Methods One hundred and twenty patients with acute stroke were randomly divided into study group and control group,60 cases in each group.The control group only received routine care,while the study group received routine care plus comprehensive nursing intervention.The scales of SDS,NIHSS and ADL were used to evaluate the expression condition,neurologic impairment and activity of daily living of patients before and after treatment in two groups,and the scores were compared.Results After routine care and comprehensive nursing intervention,the scores of SDS,NIHSS and ADL were decreased more obviously in study group than those in control group,which had statistical significant difference (P ＜ 0.05).Conclusion Comprehensive nursing intervention can effectively relieve or remove the depression and improve the subjective initiative activities of patients with acute stroke,which makes them co-operate treatment actively,promotes their recovery of neurological function and activity of daily living.