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高血压脑出血后抑郁患者的心理支持护理对策分析

  • 张蓉华,何玉蓉,杨晓华,王玉珍

* 通信作者: 张蓉华, 单位:广元市中心医院,四川广元

摘要

【摘要】
目的 探讨高血压脑出血后抑郁患者的心理支持护理对策分析。

方法 选取我院2015年3月至2016年4月高血压脑出血后抑郁患者80例,根据护理

方法的不同分为观察组(n=40)和对照组(n=40),对照组给予常规药物治疗和常规护理,观察组在对照组的基础上给予患者本人、患者家人及社会等多方面的心理支持护理干预,两组均护理3个月,于干预前后采用汉密尔顿抑郁量表(HAMD)及抑郁自评量表(SDS)对患者的抑郁情绪进行评估,并采用生活质量综合评定问卷(GQOL-74)以物质生活、躯体健康、心理健康、社会功能4个子量表评价患者护理后的生活质量情况,并比较两组患者的护理满意度。

结果 干预后观察组的HAMD及SDS评分均明显低于对照组HAMD及SDS评分(p<0.05);观察组干预后的躯体健康、心理健康、社会功能各维度评分均优于对照组(p<0.05),而干预后物质生活相比差异无统计学意义(p>0.05);观察组护理满意度95.00%(38/40)明显高于对照组77.50%(31/40)(p<0.05)。

结论 心理支持护理干预能有效改善高血压脑出血后抑郁患者抑郁的不良情绪,且还对患者积极配合治疗起指导作用,改善患者的临床疗效,提高患者生活质量,保障护理质量。

关键词:【关键词】颅内出血, 高血压性;抑郁;心理疗法;汉密尔顿抑郁量表;抑郁自评量表

ABSTRACT

[Abstract]
Objective To explore the nursing strategies of psychological support for patients with depression after cerebral hemorrhage.

Methods: 80 cases of patients with depression after cerebral hemorrhage in our hospital from March 2015 to April 2016 were selected.According to the different nursing methods were divided into observation group (n=40) and control group (n=40).The control group was given routine medicine treatment and routine nursing care. Observation group on the basis of the control group to give the patient himself, the family and the community and other aspects of psychological support for nursing intervention, the two groups were 3 months of care.Depressive mood was assessed with the Hamilton Depression Scale (HAMD) and the self rating Depression Scale (SDS) before and after the intervention.And the quality of life of the patients after nursing care was evaluated by the 4 sub scales of the physical life, physical health, mental health and social function of the quality of life questionnaire (GQOL-74).And the nursing satisfaction of the two groups were compared.

Results: The HAMD and SDS scores of the intervention group were significantly lower than those of the control group HAMD and SDS score (P<0.05);The scores of physical health, mental health and social function in the observation group were better than those in the control group (P<0.05), but the difference was not statistically significant (P>0.05);Observation group nursing satisfaction 95% (38/40) was significantly higher than the control group 77.50%(31/40) (P<0.05).

Conclusion  : Psychological nursing intervention can support the negative emotions of depression in patients with depression after intracerebral hemorrhage effectively improved, and also for the treatment of patients with positive guidance, improve the patient's clinical curative effect, improve the quality of life of patients, ensuring the quality of nursing.

Key words: [Key words]  Intracranial Hemorrhage, Hypertensive;Depression; Psychotherapy ; Hamilton depression scale; Self-rating depression scale

引用本文 / How to Cite This Article

张蓉华,何玉蓉,杨晓华,王玉珍.高血压脑出血后抑郁患者的心理支持护理对策分析[J]. 国际精神病学杂志, 2017, 44(1): 151-154

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