耳穴压豆与中医情志护理联合常规疗法干预卒中后抑郁临床研究
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R743.3;R749.4

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Clinical Study on Auricular Point Pressing with Beans and Emotional Nursing of Chinese Medicine Combined with Routine Therapy Intervening Post-Stroke Depression
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    摘要:

    目的:观察耳穴压豆与中医情志护理联合常规疗法干预卒中后抑郁(PSD) 的临床效果。方法:将96 例PSD 患者随机分为对照组和观察组各48 例。2 组均服用阿司匹林肠溶片、辛伐他汀片、盐酸帕罗西汀片和进行康复治疗,并给予心理护理。观察组加用耳穴压豆联合中医情志护理。2 组疗程均为4 周。治疗前后评定2 组患者的汉密尔顿抑郁量表(HAMD) 评分、患者健康问卷-9 项(PHQ-9) 评分和日常生活活动能力[改良Barthel 指数(BI) 评分];比较2 组的临床疗效;患者和家属于出院时评价护理满意度。结果:治疗后,观察组临床疗效优于对照组(P<0.01)。2 组HAMD、PHQ-9 评分均较治疗前降低(P<0.01),BI 评分升高(P<0.01)。观察组HAMD、PHQ-9 评分均低于对照组(P<0.01),BI 评分高于对照组(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在常规疗法基础上加用耳穴压豆与中医情志护理干预PSD,可减轻患者的抑郁程度,提高其日常生活能力和对护理措施的满意度,临床疗效显著。

    Abstract:

    Abstract: Objective: To observe the clinical effect of auricular point pressing with beans and emotional nursing of Chinese medicine combined with routine therapy intervening post-stroke depression(PSD). Methods:A total of 96 cases of PSD patients were randomly divided into the control group and the observation group,48 cases in each group. Both groups were given rehabilitation therapy,psychological nursing and oral administration of aspirin enteric-coated tablets,simvastatin tablets and paroxetine hydrochloride tablets. The observation group was additionally given auricular point pressing with beans and emotional nursing of Chinese medicine. Both groups were treated for four weeks. Before and after treatment,the scores of Hamilton Depression Scale(HAMD- 17), Patient Health Queationnaire- 9(PHQ- 9) and modified Barthel Index(BI) for evaluating activities of daily living in the two groups were evaluated; the clinical effect was compared; the nursing satisfaction of patients and their family members was evaluated when discharge. Results:After treatment,the clinical effect in the observation group was better than that in the control group(P<0.01). The scores of HAMD and PHQ- 9 in the two groups were decreased when compared with those before treatment(P<0.01), and the scores of BI were increased(P< 0.01). The scores of HAMD and PHQ-9 in the observation group were lower than those in the control group(P<0.01),and the scores of BI was higher(P<0.01). The nursing satisfaction in the observation group was higher than that in the control group (P<0.05). Conclusion: Based on routine therapy, the additional intervention of auricular point pressing with beans and emotional nursing of Chinese medicine on PSD,can reduce the degree of depression,and improve activities of daily living and nursing satisfaction,with significant clinical effect.

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胡爱君,陈小敏,周秀女.耳穴压豆与中医情志护理联合常规疗法干预卒中后抑郁临床研究[J].新中医,2020,52(15):163-166

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  • 在线发布日期: 2020-08-08
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