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基于证据的护理对急性脑卒中后抑郁患者心理状态、神经功能和生活质量的影响。

Influence of Evidence-Based Nursing on Psychological Status, Neurological Function, and Life Quality of Patients with Acute Poststroke Depression.

机构信息

Department of Neurosurgery, The Characteristic Medical Center of PLA Rocket Force, Beijing 100088, China.

出版信息

Dis Markers. 2022 Sep 16;2022:7099908. doi: 10.1155/2022/7099908. eCollection 2022.

Abstract

OBJECTIVE

This research sets out to elucidate the influence of evidence-based nursing (EBN) on psychological status (PSY), neurological function, and quality of life (QoL) of patients with acute poststroke depression (PSD).

METHODS

One hundred and fifty stroke patients who received treatment in the Characteristic Medical Center of PLA Rocket Force between December 2019 and December 2021 were enrolled, including 100 cases (Group A) treated with comprehensive EBN and 50 patients (Group B) with routine nursing. Anxiety and depression (Self-Rating Anxiety Scale [SAS] and Self-Rating Depression Scale [SDS] scores), neurological function (National Institutes of Health Stroke Scale [NIHSS] and Scandinavian Stroke Scale [SSS] scores), QoL (Generic Quality Of Life Inventory-74 [GQOLI-74] score), and complication rate of both groups were evaluated, as well as total effective rate and nursing satisfaction.

RESULTS

Group A outperformed Group B with lower scores of NIHSS, SSS, SAS, and SDS and higher GOOLI-74 scores. Besides, lower complication rate and higher total effective rate and nursing satisfaction were determined in Group A.

CONCLUSIONS

EBN can better improve the PSY of patients with acute PSD, restore their neurological function, and effectively improve their QoL.

摘要

目的

本研究旨在阐明循证护理(EBN)对急性脑卒中后抑郁(PSD)患者心理状态(PSY)、神经功能和生活质量(QoL)的影响。

方法

选取 2019 年 12 月至 2021 年 12 月在解放军火箭军特色医学中心接受治疗的 150 例脑卒中患者,包括 100 例接受综合 EBN 治疗的患者(A 组)和 50 例接受常规护理的患者(B 组)。评估两组患者的焦虑和抑郁(自评焦虑量表[SAS]和自评抑郁量表[SDS]评分)、神经功能(国立卫生研究院卒中量表[NIHSS]和斯堪的纳维亚卒中量表[SSS]评分)、QoL(通用生活质量量表-74[GQOLI-74]评分)和并发症发生率,以及总有效率和护理满意度。

结果

A 组的 NIHSS、SSS、SAS 和 SDS 评分较低,GQOLI-74 评分较高,并发症发生率较低,总有效率和护理满意度较高。

结论

EBN 能更好地改善急性 PSD 患者的 PSY,恢复其神经功能,有效提高其 QoL。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af00/9507762/8b1566564404/DM2022-7099908.001.jpg

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