摘要
中风后抑郁症(Post Stroke Depression,PSD)是中风后常见的并发症之一,是发生在中风患者中的抑郁障碍,核心的症状表现为心境低落。抑郁症干扰和阻碍了中风患者的康复过程,是目前阻碍中风病人神经功能及日常生活能力恢复的重要因素。中风后抑郁症可分为轻、重二型。中风发病较急,变化大,对于突如其来的生理功能障碍而引起的生活自理困难,加上对自己病情的不了解,使患者对预后产生过多的恐惧,陷入了绝望和担忧的情绪之中;患者患病后社会活动相对减少,与社会交往贫乏;此外,近期负性事件、家庭支持程度、病人对生活的满意度等都与抑郁的发生有关。医护人员应加强对抑郁症的学习和重视,准确全面地了解患者情况。因此,临床上中风后出现以情绪低落为主要表现者,应想到中风后抑郁症的可能,并及时进行抗抑郁治疗。中风后抑郁症既影响中风病的康复,又给患者和家庭带来许多不便。因此,如何对中风后患者的心理状态作出正确的评估,帮助患者正确地面对现实,改善不良心态,建立治疗信心,十分重要。
Post-stroke depression (PSD) is a common complication after stroke, one stroke occurred in patients with depressive disorders, the core symptoms of depressed mood. Depression, interference and hampered the rehabilitation of stroke patients, stroke patients is currently hampered nerve function and daily living skills to restore an important factor. Post-stroke depression can be divided into light and heavy two types. The incidence of stroke more drastic changes, and the sudden physiological dysfunction caused by the difficulties of daily life, coupled with the lack of understanding of their condition so that the prognosis of patients with excessive fear and worries into the mood of despair among the; After the illness in patients with reduced social activities, and poor social interaction; addition; recent negative events, the degree of family support, patient satisfaction with life and so on and related to the occurrence of depression. Health care workers should be strengthened to study depression and attention in patients with accurate and comprehensive understanding of the situation, therefore, after stroke, clinical depression in the main performance, and should be thought of post-stroke depression may be, and timely treatment to antidepressants. Post-stroke depression not only affect the rehabilitation of stroke patients, patients and families have given a lot of inconvenience. Therefore, how to stroke patients make the right mental state assessment, to help patients with the right to face the reality and improve the bad attitude, confidence in the establishment of the treatment is very important.
出处
《辽宁中医药大学学报》
CAS
2009年第7期162-163,共2页
Journal of Liaoning University of Traditional Chinese Medicine
关键词
中风
抑郁症
护理
stroke
depression
nursing