CAJ | 학술논문

目的：探讨自我效能理论在脑卒中后抑郁(post-stroke depression,PSD)患者康复护理中的应用方法及效果.方法便利抽样法选择2014年1－10月上海第七人民医院康复科收治的 PSD患者60例,按入院先后将其分为观察组和对照组各30例,对照组患者予以常规康复护理,观察组患者在对照组的基础上应用自我效能理论对其进行干预.评价并比较干预前后两组患者的汉密顿抑郁量表(Hamilton depression scale,HAMD)评分及神经功能损害评分(national institute of health stroke scale,NIHSS).结果干预前,两组患者的 HAMD及NIHSS评分差异均无统计学意义(均P＞0．05)；干预后,观察组患者的HAMD及 NIHSS评分均低于干预前,且观察组的评分均低于对照组,差异均有统计学意义(均P＜0．05).结论将自我效能理论应用于PSD患者的康复护理中有利于改善患者的抑郁状况,促进患者康复.
목적：탐토자아효능이론재뇌졸중후억욱(post-stroke depression,PSD)환자강복호리중적응용방법급효과.방법편리추양법선택2014년1－10월상해제칠인민의원강복과수치적 PSD환자60례,안입원선후장기분위관찰조화대조조각30례,대조조환자여이상규강복호리,관찰조환자재대조조적기출상응용자아효능이론대기진행간예.평개병비교간예전후량조환자적한밀돈억욱량표(Hamilton depression scale,HAMD)평분급신경공능손해평분(national institute of health stroke scale,NIHSS).결과간예전,량조환자적 HAMD급NIHSS평분차이균무통계학의의(균P＞0．05)；간예후,관찰조환자적HAMD급 NIHSS평분균저우간예전,차관찰조적평분균저우대조조,차이균유통계학의의(균P＜0．05).결론장자아효능이론응용우PSD환자적강복호리중유리우개선환자적억욱상황,촉진환자강복.
Objective To study application method and effect of self-efficacy theory in rehabilitative nursing of patients with post-stroke depression(PSD).Methods By convenience sampling,60 PSD cases were selected and equally divided into observation group and control group.Observation group was given self-efficacy intervention combined with rehabilitative training,while the control group was only received routine rehabilitative nursing.The Hamilton depression scale (HAMD)and NIHSS score was observed before and after treatment.Results There was no statistical significance of HAMD score and NIHSS score showed before intervention between two groups (all P>0.05).The HAMD score and NIHSS score after intervention were reduced compared with before intervention,and the scores in observation group were lower than which in control group (all P<0.05 ).Conclusion The application of self-efficacy theory combined with rehabilitative training can effectively improve the depression status of patients,and can also promote the recovery.