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认知护理在脑梗死后抑郁症患者护理中的应用研究.doc

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认知护理在脑梗死后抑郁症患者护理中的应用研究.doc

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文档介绍:认知护理在脑梗死后抑郁症患者护理中的应用研究[ 摘要] 目的探讨认知护理干预对脑卒中后抑郁症患者神经和认知功能的影响。方法选取 2010 年 12 月~ 2014 年6 月我院中医科收治的 120 例患者随机分为两组各 60例, 对照组采取常规护理, 观察组在此基础上配合认知护理,比较两组患者在护理前后 HAMD 、 SDS 、 HAMA 、 Barthe l 积分的变化情况。结果治疗组在认知护理干预后平均 HAMD 、 SDS 和 HAM A 积分较治疗前和对照组明显降低( ) 。治疗组总有效率为 % ,与对照组( % ) 比较差异有统计学意义( P< )。结论认知护理干预能明显改善 PSD 患者心理状态, 抑郁症状, 促进神经功能恢复, 值得推广应用。[ 关键词] 脑梗死后抑郁症;认知护理;神经功能[ 中图分类号] [ 文献标识码]B[ 文章编号] 2095-0616 ( 2015 ) 19-141-03 [Abstract] Objective To study the effect of nerve and cognitive function of cognitive nursing inte rvention in patients with post-stroke depression. Methods 120 patients with depression after cerebral infarction were divided into control group which was adopted by routine nursing and observation group which was adopted by cognitive nursing based on rou tine nursing. pare the integral changes of HAMD , SDS , HAMA , Barthel pre and post nursing between the two groups. Results The average integral of HAMD , SDS , HAMA in observation group after cognitive nursing intervention were obviously decreased than which before treatment , and which in observation group were obviously decreased than which in control group ( ). The differences of total effective rate was statistical pared with observation group ( % ) and control group ( % )( P< ). Conclusion Cognitive nursing intervention could obviously improve the psychological state and depres