CAJ | 학술논문

目的：探讨综合心理干预对脑出血术后抑郁患者 HAMD评分及Barthel指数评价的影响。方法将神经外科78例脑出血术后抑郁患者随机等分为对照组和观察组，两组均给予神经外科常规治疗与护理，观察组再实施综合心理干预，比较两组抑郁患者的 HAMD评分、术后日常生活能力（采用Barthel指数评价）和家属对护理工作的满意度。结果观察组抑郁症状 HAMD评分明显低于对照组，家属对护理工作的满意度和术后日常生活能力Barthel指数评价明显高于对照组，差异均有统计学意义（ P ＜0．05）。结论综合心理干预能减轻患者的抑郁症状，帮助其恢复日常生活能力，提高护理工作满意度。
목적：탐토종합심리간예대뇌출혈술후억욱환자 HAMD평분급Barthel지수평개적영향。방법장신경외과78례뇌출혈술후억욱환자수궤등분위대조조화관찰조，량조균급여신경외과상규치료여호리，관찰조재실시종합심리간예，비교량조억욱환자적 HAMD평분、술후일상생활능력（채용Barthel지수평개）화가속대호리공작적만의도。결과관찰조억욱증상 HAMD평분명현저우대조조，가속대호리공작적만의도화술후일상생활능력Barthel지수평개명현고우대조조，차이균유통계학의의（ P ＜0．05）。결론종합심리간예능감경환자적억욱증상，방조기회복일상생활능력，제고호리공작만의도。
ObjectiveTo investigate the effects of brain hemorrhage in patients with postoperative de-pression HAMD score and Barthel index evaluation of comprehensive psychological intervention .Meth-odsneurosurgery randomly depressed patients after cerebral hemorrhage 78 cases were divided into control group and observation group ,two groups were given conventional treatment and care in neurosurgery , and then observe the implementation of comprehensive psychological intervention group compared two groups of patients with depression HAMD score postoperative activities of daily living ( Barthel index as-sessment using ) and their families to nursing job satisfaction .ResultsThe study group depression HAMD scores were significantly lower than the control group ,family care and job satisfaction and postoperative evaluation of activities of daily living Barthel index was significantly higher ,the differences were statisti-cally significant ( P <0 .05) .ConclusionIntegrated psychological intervention can reduce depressive symp-toms ,help restore activities of daily living ,improve nursing job satisfaction .