耳穴压豆联合情志护理干预脑梗死后抑郁临床研究
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R248;R749.4

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Clinical Study on Auricular Point Pressing with Beans and Emotional Nursing Intervening Post-Stroke Depression
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    摘要:

    目的:观察耳穴压豆联合情志护理干预脑梗死后抑郁(PSD)的临床护理效果。方法:将 100 例 PSD 患者随机分为对照组 50 例和观察组 50 例。对照组给予氟哌噻吨美利曲辛片治疗,并给予护理宣教和心理护理措施;观察组药物治疗同对照组,并给予耳穴压豆联合情志护理干预。2 组疗程均为 4 周,观察比较 2 组治疗前后汉密尔顿抑郁量表-17 (HAMD-17)、Zung抑郁自评量表(SDS)和 Zung 焦虑自评量表(SAS)评分,出院时评价护理满意度。结果:经秩和检验,治疗后观察组抑郁程度轻于对照组,差异有统计学意义 (P<0.05)。抑郁消失率观察组为 76.00%,对照组为 52.00%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组患者 HAMD、SAS、SDS 评分均较治疗前明显下降 (P<0.05),且观察组 HAMD、SAS、SDS 评分均低于对照组(P<0.05)。经秩和检验,观察组患者护理满意度优于对照组,差异有统计学意义(P<0.05)。结论:在氟哌噻吨美利曲辛治疗的基础上,对 PSD 患者给予耳穴压豆和情志护理进行干预,可减轻抑郁、焦虑程度,有效提高抑郁的消失率及临床护理满意度。

    Abstract:

    Abstract: Objective: To observe the clinical nursing effect of auricular point pressing with beans combined with emotional nursing on intervening post-stroke depression(PSD). Methods:A total of 100 cases of PSD patients were randomly divided into the control group and the observation group,50 cases in each group. The control group was given flupentixol and melitracen tablets, nursing, health education and guidance, and psychological nursing measures. The observation group was additionally intervened with auricular point pressing with beans combined with emotional nursing based on the treatment of the control group. Both groups were treated for four weeks. The scores of Hamilton Depression Scale- 17(HAMD-17), Zung Self- rating Depression Scale(SDS) and Zung Self- rating Anxiety Scale(SAS) before and after treatment were observed and compared between the two groups. The nursing satisfaction was evaluated when discharge. Results:After treatment, the depression degree of the observation group was lightor than that of the control and the difference was statistically significant(P<0.05) The disappearance rate of depression was 76.00% in the observation group,and 52.00% in the control group,the difference being significant(P<0.05). After treatment,the scores of HAMD,SAS and SDS in the two groups were significantly decreased when compared with those before treatment(P<0.05),and the three scores in the observation group were lower than those in the control group(P<0.05). The nursing satisfaction in the observation group was better than that in the control group,the difference being significant(P<0.05). Conclusion:Based on flupentixol and melitracen,namely auricular point pressing with beans combined with emotional nursing for PSD patients can reduce the degree of depression and anxiety,and effectively improve the disappearance rate of depression and clinical nursing satisfaction.

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张建琴.耳穴压豆联合情志护理干预脑梗死后抑郁临床研究[J].新中医,2020,52(24):186-188

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  • 在线发布日期: 2020-12-22
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