CAJ | 학술논문

目的：观察心理康复护理对脑卒中后抑郁患者的疗效情况。方法将我院神经内科2012年12月～2013年6月期间，确诊为脑卒中后抑郁的患者142例，随机分成心理康复组和常规护理组各71例。所有患者均给予抗抑郁药物治疗，在治疗的基础上对对照组采用常规治疗护理，观察组采用常规护理外每天由专职护士进行一次心理康复治疗护理，持续3周。在心理干预前后分别对两组患者采用HAMD抑郁量表，进行测评。结果治疗前的心理康复组和常规护理的HAMD评分分别为24.38±2.81、23.86±2.73差异无统计学意义（P＞0.05）有可比性；经治疗后3周HAMD评分分别为17.34±1.91、20.85±2.17，差异有统计学意义（P＜0.05）。结论针对脑卒中后抑郁患者的特点，早期开展心理康复护理，有利于促进脑卒中后抑郁患者的康复。
목적：관찰심리강복호리대뇌졸중후억욱환자적료효정황。방법장아원신경내과2012년12월～2013년6월기간，학진위뇌졸중후억욱적환자142례，수궤분성심리강복조화상규호리조각71례。소유환자균급여항억욱약물치료，재치료적기출상대대조조채용상규치료호리，관찰조채용상규호리외매천유전직호사진행일차심리강복치료호리，지속3주。재심리간예전후분별대량조환자채용HAMD억욱량표，진행측평。결과치료전적심리강복조화상규호리적HAMD평분분별위24.38±2.81、23.86±2.73차이무통계학의의（P＞0.05）유가비성；경치료후3주HAMD평분분별위17.34±1.91、20.85±2.17，차이유통계학의의（P＜0.05）。결론침대뇌졸중후억욱환자적특점，조기개전심리강복호리，유리우촉진뇌졸중후억욱환자적강복。
Objectiveto observe the efifcacy of psychological rehabilitation nursing against depression of cerebral apoplexy patients.Methods 142 patients who were diagnosed with post-stroke depression from December 2012 to June 2013 by the neurology department of The People’s Hospital of Sichuan Province were divided evenly and randomly into the psychological rehabilitation group (the observation group) and the regular care group (the control group).ResultsAll of them were treated with anti-depression medication.Besides the regular nursing given to the control group,those in the observation group were given extra psychological rehabilitation treatment once a day for 3 weeks.All patients of the two groups were evaluated with HAMD before and after the 3-week treatment. (P>0.05).After 3 weeks’ treatment(P<0.05).Conclusion Early psychological rehabilitation nursing can help the patients’ recovery from post-stroke depression.