Department of Rehabilitation, Nursing Science and Sports, Rudolf Magnus Institute of Neuroscience, Utrecht, The Netherlands.
J Clin Nurs. 2010 Dec;19(23-24):3274-90. doi: 10.1111/j.1365-2702.2010.03402.x.
This systematic review explores the nursing role in the management of poststroke depression and identifies effective non-pharmacological interventions that nurses can use in the daily care of patients with stroke.
Depression is a common complication poststroke and affects one-third of patients with stroke. It has a negative impact on functional recovery and social activities and is associated with increased morbidity and mortality. Detection and diagnosis of poststroke depression is inconsistent, and many depressed patients are under-treated. Although nurses recognise that observation and assessment are parts of their role in rehabilitation care, little is known about their role in assessing depression or the interventions they can use.
A systematic review was conducted using the Cochrane method.
Literature for the period 1993-2008 was searched in the electronic databases of CINAHL, Medline (PubMed), Nursing Journals (PubMed) and PsycINFO using the following keywords: cerebrovascular accident, stroke, depression, poststroke depression, treatment, therapy, treatment outcome, management.
Fifteen articles and one systematic review were identified. There was strong evidence that information provision reduces the severity of depression. Other interventions with positive effects on the occurrence or severity of poststroke depression were as follows: life review therapy, motivational interviewing, a specific nursing support programme and physical exercise.
Depression after stroke is an important problem with adverse effects on the patient's ability to participate in rehabilitation and on rehabilitation outcome. The interventions described can be implemented in nursing care of patients with poststroke depression. The variety of such interventions and the diversity of their nature and design are consistent with the practice of rehabilitation nursing.
The findings of this review enable nurses to intervene effectively to reduce the occurrence and severity of depression in patients with stroke.
本系统评价探讨了护理在管理中风后抑郁中的作用，并确定了护士可以在中风患者日常护理中使用的有效非药物干预措施。
抑郁是中风后的常见并发症，影响三分之一的中风患者。它对功能恢复和社会活动有负面影响，并与发病率和死亡率增加有关。中风后抑郁的检测和诊断不一致，许多抑郁患者治疗不足。尽管护士认识到观察和评估是康复护理角色的一部分，但他们在评估抑郁或可以使用的干预措施方面的作用知之甚少。
使用 Cochrane 方法进行了系统评价。
使用以下关键字在 CINAHL、Medline（PubMed）、Nursing Journals（PubMed）和 PsycINFO 电子数据库中搜索 1993-2008 年期间的文献：脑血管意外、中风、抑郁、中风后抑郁、治疗、疗法、治疗结果、管理。
确定了 15 篇文章和一篇系统评价。有强有力的证据表明信息提供可以减轻抑郁的严重程度。对中风后抑郁的发生或严重程度有积极影响的其他干预措施如下：生活回顾疗法、动机访谈、特定的护理支持计划和体育锻炼。
中风后抑郁是一个重要问题，对患者参与康复和康复结果有不利影响。所描述的干预措施可以在中风后抑郁患者的护理中实施。这些干预措施的多样性及其性质和设计的多样性与康复护理的实践一致。
本评价的结果使护士能够有效地干预，以减少中风患者抑郁的发生和严重程度。
