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Research of rehabilitation nursing in elderly patients with post-stroke depression

机译：老年卒中后抑郁患者的康复护理研究

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Objective To investigate the influence of rehabilitation nursing including psychological counseling and exercise training on post-stroke depression patients. Methods Eighty patients with post-stroke depression were divided into 2 groups: rehabilitation group (combination of conventional drug treatment and auxiliary exercise and phychological therapy, N = 40) and control group (drug and auxiliary exercise therapy, N = 40). These patients were assessed by using Barthel Index (BI) and Hamilton Depression Rating Scale (HAMD) on admission and 3 months after treatment respectively. Results There was no statistically significant difference in the BI and HAMD score between rehabilitation group and control group on admission [BI: 58.69 (51.57, 57.40) vs 59.02 (55.15, 61.27), HAMD: 13.52 (10.87, 15.02) vs 13.85 (10.50, 14.42); P > 0.05]. After 3 months' treatment, the ability of daily living was obviously improved and HAMD score decreased in rehabilitation group, and the differences with control group were statistically significant [BI: 71.28 (69.20, 73.20) vs 58.31 (57.53, 63.37); HAMD: 8.05 (7.32, 10.78) vs 14.98 (12.68, 17.80); P < 0.05]. Conclusion Combination of exercise training, psychological rehabilitation and drug treatment is beneficial for alleviating post-stroke depression and improving the recovery of neurological function and prognosis.
机译：目的探讨心理咨询和运动训练等康复护理对中风后抑郁症患者的影响。方法将80例卒中后抑郁症患者分为2组：康复组（常规药物治疗与辅助运动与生理疗法相结合，N = 40）和对照组（药物及辅助运动治疗，N = 40）。在入院时和治疗后3个月分别使用Barthel指数（BI）和汉密尔顿抑郁量表（HAMD）对这些患者进行评估。结果入院时康复组和对照组的BI和HAMD评分无统计学差异[BI：58.69（51.57，57.40）vs 59.02（55.15，61.27），HAMD：13.52（10.87，15.02）vs 13.85（10.50） ，14.42）; P> 0.05]。治疗3个月后，康复组的日常生活能力明显改善，HAMD评分降低，与对照组比较差异有统计学意义[BI：71.28（69.20，73.20）vs 58.31（57.53，63.37）; HAMD：8.05（7.32，10.78）对14.98（12.68，17.80）; P <0.05]。结论运动训练，心理康复和药物治疗相结合，对减轻中风后抑郁，改善神经功能和恢复预后均有利。

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