Analysis of the influence of cognitive psychological nursing on patients with depressionin acute stage of stroke
认知心理护理对脑卒中急性期抑郁症患者的影响分析

摘要

目的 探讨认知心理护理对脑卒中急性期抑郁症患者的影响。方法 采用抽样调查法抽选研究对象，抽样时间为2022年1月到2022年6月，抽样对象为经临床检验已确诊的脑卒中急性期抑郁症患者，抽样数量为160，将其中80例患者纳入对照组，采用常规护理，剩余80例纳入实验组，在常规护理的基础上采用认知心理护理，采用简易精神状态检查量表（MMSE）、神经功能缺损评定量表（CNS）、焦虑自评量表（SAS）、抑郁自评量表（SDS）、生活质量量表评价比较两组患者的认知功能、神经功能、焦虑和抑郁状态、生活质量。结果 实施护理前，实验组和对照组患者认知功能评分、神经功能缺损评分、生活质量评分以及情绪状态SAS和SDS评分均无明显的差异，无统计学意义（P＞0.05）；实施护理后，实验组患者的认知功能评分明显优于对照组，有统计学意义（P＜0.05）；同时，实验组患者SAS焦虑评分、SDS抑郁评分以及神经功能缺损评分均明显低于对照组，数据对比明显，有统计学意义（P＜0.05）；并且，护理后两组患者的生活质量均有明显提升，但实验组患者生活质量评分明显更高，有统计学意义（P＜0.05）。结论 对脑卒中急性期抑郁症患者实施认知心理护理能够有效改善患者的临床症状并缓解其负面情绪，促进患者神经功能恢复，提升生活质量。

Abstract

Objective To explore the effect of cognitive psychological nursing on stroke patients with acute depression.
Methods: The research subjects were selected by the sampling survey method. The sampling time was from January 2022 to June 2022. The sampling subjects were stroke patients with acute depression diagnosed by clinical examination. The sampling number was 160, and 80 of them were selected. The patients were included in the control group and received routine nursing care, and the remaining 80 patients were included in the experimental group. On the basis of routine nursing, cognitive psychological nursing was adopted, and the Mini Mental State Examination (MMSE), Neurological Impairment Rating Scale (CNS), and anxiety Self-rating scale (SAS), self-rating depression scale (SDS) and quality of life scale were used to evaluate and compare the cognitive function, neurological function, anxiety and depression state, and quality of life of the two groups of patients.
Results: Before nursing, there were no significant differences in cognitive function scores, neurological deficit scores, quality of life scores, and emotional state SAS and SDS scores between the experimental group and the control group, with no statistical significance (P>0.05). The cognitive function score of the experimental group was significantly better than that of the control group, with statistical significance (P<0.05). At the same time, the SAS anxiety score, SDS depression score and neurological deficit score of the experimental group were significantly lower than those of the control group. The data comparison was obvious and statistically significant (P<0.05); and after nursing, the quality of life of the two groups of patients was significantly improved, but the quality of life score of the experimental group was significantly higher, with statistical significance (P<0.05).
Conclusion  : Cognitive psychological nursing for patients with depression in the acute stage of stroke can effectively improve the clinical symptoms and relieve their negative emotions, promote the recovery of neurological function and improve the quality of life.