王光霞 王柳 刘阳阳 彭婉 谢静茹

【摘要】 目的：探究量化評估导向的双分护理联合KTH整合式管理干预老年脑卒中后抑郁（PSD）患者的效果。方法：选取2018年1月-2021年1月本院收治的195例老年PSD患者作为研究对象，按照随机数字表法分为常规护理组（n=97）和联合护理组（n=98）。常规护理组给予常规护理干预，联合护理组给予量化评估导向的双分护理联合KTH整合式管理干预，两组均干预3个月。比较两组干预前后心理状态[老年抑郁量表（GDS）、卒中后失语抑郁量表（SADQ）]、认知功能[简易智能精神状态检查量表（MMSE）]、睡眠情况[匹兹堡睡眠质量指数（PSQI）]、生活质量[脑卒中专用生活质量量表（SS-QOL）]。结果：干预3个月后，两组GDS、SADQ、PSQI评分均低于干预前，且联合护理组均低于常规护理组（P<0.05）。干预3个月后，两组MMSE、SS-QOL评分均高于干预前，且联合护理组均高于常规护理组（P<0.05）。结论：量化评估导向的双分护理联合KTH整合式管理干预老年PSD患者可改善患者心理状态和睡眠情况，提高其生活质量。

【关键词】 量化评估导向 双分护理 KTH整合式管理 老年 脑卒中后抑郁 心理状态 生活质量

Application Effect of Quantitative Assessment-oriented Double-point Nursing Combined with KTH Integrated Management on Elderly Patients with Post-stroke Depression/WANG Guangxia， WANG Liu， LIU Yangyang， PENG Wan， XIE Jingru. //Medical Innovation of China， 2021， 18（35）： -105

[Abstract] Objective： To explore the application effect of quantitative assessment-oriented double-point nursing combined with KTH integrated management Intervention on elderly patients with post-stroke depression （PSD）. Method： A total of 195 elderly patients with PSD treated in our hospital from January 2018 and January 2021 were selected as the study objects， and they were divided into conventional nursing group （n=97） and combined nursing group （n=98） according to the random number table method. The conventional nursing group was given conventional nursing intervention and the combined nursing group was given quantitative assessment-oriented double-point nursing intervention， and two groups were intervened for 3 months. The psychological status [geriatric depression scale （GDS）， stroke aphasic depression questionnaire （SADQ）]， cognitive function [mini-mental state examination （MMSE）]， sleep status [Pittsburgh sleep quality index （PSQI）] and quality of life [stroke-specific quality of life scale （SS-QOL）] of two groups were compared before and after intervention. Result： At 3 months after intervention， the scores of GDS， SADQ and PSQI in two groups were significantly lower than those before intervention， and the combined nursing group were significantly lower than those of the conventional nursing group （P<0.05）. At 3 months after intervention， the scores of MMSE and SS-QOL in two groups were significantly higher than those before intervention， and the combined nursing group were higher than those in the conventional nursing group （P<0.05）. Conclusion： Quantitative assessment-oriented double-point nursing combined with KTH integrated management intervention for elderly patients with PSD can improve the psychological status and sleep status， and enhance the quality of life.

[Key words] Quantitative assessment-oriented Double-point nursing KTH integrated management Elderly Post-stroke depression Psychological status Quality of life

First-author’s address： Pingxiang People’s Hospital， Pingxiang 337000， China

doi：10.3969/j.issn.1674-4985.2021.35.025

脑卒中为最常见脑血管疾病之一，且由于脑卒中发病后脑组织、神经受损，导致患者出现失语、四肢活动障碍甚至偏瘫等严重后遗症，因此在脑卒中后几个月通常出现脑卒中后抑郁（PSD），其发病率最高可达79%[1]，需要及时给予护理干预，改善患者心理状态，使其配合治疗和康复[2]。量化评估导向的双分护理指使用科学方式对患者病情严重程度进行评估，根据评估结果对其进行分层和分期护理干预，使护理干预方式贴合患者病情，保证护理干预效果[3]。……