Chinese Journal of Contemporary Neurology and Neurosurgery ›› 2013, Vol. 13 ›› Issue (10): 905-908. doi: 10.3969/j.issn.1672-6731.2013.10.019

Previous Articles     Next Articles

Research of rehabilitation nursing in elderly patients with post-stroke depression

XIA Ying-hua, SU Wei-wei, QI Ying, JIN Xin, YAO Yuan, ZHANG Yun, ZHANG Ming-yi   

  1. Department of Health Care Geriatric Neurology, Tianjin Medical University General Hospital, Tianjin 300052, China
  • Online:2013-10-25 Published:2013-10-15
  • Contact: ZHANG Ming-yi (Email: zhangmingyi@tjmugh.com.cn)

老年脑卒中后抑郁患者的康复护理

夏颖华, 苏微微, 齐颖, 金鑫, 姚远, 张蕴, 张明义   

  1. 300052 天津医科大学总医院保健医疗部,天津市老年病学研究所
  • 通讯作者: 张明义 (Email:zhangmingyi@tjmugh.com.cn)

Abstract: Objective  To investigate the influence of rehabilitation nursing including psychological counseling and exercise training on post?stroke depression patients. Methods  Eighty patients with post-stroke depression were divided into 2 groups: rehabilitation group (combination of conventional drug treatment and auxiliary exercise and phychological therapy, N = 40) and control group (drug and auxiliary exercise therapy, N = 40). These patients were assessed by using Barthel Index (BI) and Hamilton Depression Rating Scale (HAMD) on admission and 3 months after treatment respectively.  Results  There was no statistically significant difference in the BI and HAMD score between rehabilitation group and control group on admission [BI: 58.69 (51.57, 57.40) vs 59.02 (55.15, 61.27), HAMD: 13.52 (10.87, 15.02) vs 13.85 (10.50, 14.42); P > 0.05]. After 3 months' treatment, the ability of daily living was obviously improved and HAMD score decreased in rehabilitation group, and the differences with control group were statistically significant [BI: 71.28 (69.20, 73.20) vs 58.31 (57.53, 63.37); HAMD: 8.05 (7.32, 10.78) vs 14.98 (12.68, 17.80); P < 0.05].  Conclusion  Combination of exercise training, psychological rehabilitation and drug treatment is beneficial for alleviating post-stroke depression and improving the recovery of neurological function and prognosis.

Key words: Stroke, Depression, Exercise movement techniques, Psychotherapy, Rehabilitation nursing

摘要: 探讨运动锻炼和心理治疗相结合的护理方法,对老年脑卒中后抑郁患者心理康复疗效的影响。共80 例脑卒中后抑郁患者分为康复治疗组和常规治疗组,分别于入院时和入院后3 个月进行日常生活活动能力(Barthel指数)和抑郁状态[汉密尔顿抑郁量表(HAMD,17 项)]评价。结果显示,入院时康复治疗组与常规治疗组之间Barthel 指数[58.69(51.57,57.40)对59.02(55.15,61.27)]和HAMD 评分[13.52(10.87,15.02)对13.85(10.50,14.42)],差异无统计学意义(P > 0.05);治疗3 个月后康复治疗组患者Barthel 指数[71.28(69.20,73.02)对58.31(57.53,63.37)]和HAMD 评分[8.05(7.32,10.78)对14.98(12.68,17.80)]明显改善,与常规治疗组之间差异有统计学意义(P < 0.05)。提示运动锻炼、心理康复与药物治疗相结合有利于缓解脑卒中后抑郁症状,促进神经功能恢复,改善预后。

关键词: 卒中, 抑郁, 身体锻炼, 心理疗法, 康复护理