CAJ | 학술논문

[目的]探讨出院计划对卒中后抑郁病人预后的影响。[方法]将160例脑卒中的病人按住院单双日分为观察组和对照组，每组80例。对照组给予神经内科常规护理，观察组在常规护理的基础上实施出院计划，并严格按计划执行，分别在干预前、干预后3个月和6个月进行抑郁(Hamilton 抑郁量表)及日常生活能力(BI 量表)评定，评估抑郁的发病率。[结果]观察组病人干预3个月后抑郁症发病率为21.79%，较对照组48.05%的发病率低(P <0.05)；6个月后观察组病人发病率为17.95%，而对照组发病率为51.95%，高于观察组(P <0.05)；干预3个月后观察组病人抑郁评分为6.22分±6.71分，较对照组(9.05分±6.84分)的低(P <0.05)；6个月后观察组病人评分为5.04分±5.63分，对照组为9.09±5.66分，高于观察组(P <0.05)；干预3个月后观察组病人日常生活能力评分为52.56分±13.91分，较对照组(42.60分±16.56分)的高(P <0.05)；6个月后观察组病人评分为60.64分±16.91分，而对照组为49.29±17.52分，低于观察组(P <0.05)。[结论]实施出院计划可以有效降低卒中后抑郁发病率，减轻抑郁症状，改善病人日常生活能力。
[목적]탐토출원계화대졸중후억욱병인예후적영향。[방법]장160례뇌졸중적병인안주원단쌍일분위관찰조화대조조，매조80례。대조조급여신경내과상규호리，관찰조재상규호리적기출상실시출원계화，병엄격안계화집행，분별재간예전、간예후3개월화6개월진행억욱(Hamilton 억욱량표)급일상생활능력(BI 량표)평정，평고억욱적발병솔。[결과]관찰조병인간예3개월후억욱증발병솔위21.79%，교대조조48.05%적발병솔저(P <0.05)；6개월후관찰조병인발병솔위17.95%，이대조조발병솔위51.95%，고우관찰조(P <0.05)；간예3개월후관찰조병인억욱평분위6.22분±6.71분，교대조조(9.05분±6.84분)적저(P <0.05)；6개월후관찰조병인평분위5.04분±5.63분，대조조위9.09±5.66분，고우관찰조(P <0.05)；간예3개월후관찰조병인일상생활능력평분위52.56분±13.91분，교대조조(42.60분±16.56분)적고(P <0.05)；6개월후관찰조병인평분위60.64분±16.91분，이대조조위49.29±17.52분，저우관찰조(P <0.05)。[결론]실시출원계화가이유효강저졸중후억욱발병솔，감경억욱증상，개선병인일상생활능력。
Objective:To probe into the influence of discharge plan on prognosis of post stroke patients with de-pression.Methods:A total of 1 60 stroke patients were divided into the observation group and control group by the hospitalization single or double days,80 cases in each.The control group received the routine nursing of neu-rology,while the observation group implemented the discharge plan on the basis of the routine nursing,and strictly carried out the plan.Then had the assessment of the depression (Hamilton depression scale)and activity of daily living (BI scale)before the intervention,3 months and 6 months after the intervention,to assess the in-cidence of depression.Results:The incidence of depression of observation group was 21.79% at 3 months after the intervention,which was lower than 48.05% of control group(P <0.05).The incidence of depression of ob-servation group was 17.95% at 6 months after the intervention,while the incidence in control group was 51.95%, which was higher than that of observation group(P <0.05).At 3 months after the intervention,the patients’ depression score of observation group was 6.22 ± 6.71,which was lower than that (9.05 ± 6.84)of control group (P <0.05).At 6 months after the intervention,the patients’depression score in observation group was 5.04±5.63,while the score of control group was 9.09±5.66,which was higher than that of observation group (P <0.05).At 3 months after the intervention,the patients’ability of daily living score of observation group was 52.56±13.91,which was higher than that (42.60±1 6.56)of control group (P <0.05).At 6 months after the intervention,the patients’ability of daily living score of observation group was 60.64 ± 1 6.91,while the score of control group was 49.29 ±17.52,which was lower than that of observation group (P <0.05).Conclu-sion:The implementation of the discharge plan can effectively reduce the incidence of poststroke depression,re-lieve the symptoms of depression and improve the patients’activity of daily living.