卒中后抑郁护理的研究现状与干预方法
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摘要
[目的]了解国内卒中后抑郁(post-stroke depression,PSD)护理的研究现状并探究对PSD病人实施护理须采取的核心干预方法。[方法]通过普赖斯定律确定与PSD护理有关的高被引论文,从中剥离出干预性研究,再将干预性研究分为采用单一方法干预PSD的研究和采用组合方法干预PSD的研究,将后者涉及的护理干预方法全部摘录出来,由2名研究人员分别对其进行编码,最后归纳为15种独立的护理干预方法,用二项分类法记录这些方法的被引频次,使用SPSS 22.0进行因子分析。[结果]与PSD护理有关的高被引论文共69篇,其中51篇采用干预性研究。采用因子分析法从15种护理干预方法中提取出5个公因子,分别为舒缓情绪、保持互动、改变认知、情感交融、改善睡眠。[结论]国内趋向于对PSD护理采用干预性研究尤其是应用组合方法的研究;除仅对延续性照护、认知干预、家属与病人协作了解比较多外,研究人员对PSD护理干预方法的认识总体上不够深入;对PSD病人实施护理,须从舒缓情绪、保持互动、改变认知、情感交融、改善睡眠5个方面考量。
Objective:To understand the research status of post-stroke depression(PSD)nursing and explore the core nursing intervention methods to PSD patients.Methods:Choosing intervention studies on PSD nursing from high citation papers which fixed by Price's law,dividing these studies into single intervention method on PSD and combined intervention method on PSD,extracted all nursing intervention methods of the latter and coding these methods by two researchers respectively.A total of 15 independent nursing intervention methods were concluded,recorded the cited frequency with Binomial Classification,and used SPSS 22.0 to analyze.Results:There were 69 high citation papers associated with PSD nursing,in which there were 50 intervention studies.Factor analysis was used to extract 5 common factors from 15 nursing intervention methods,which were to relieve emotion,maintain interaction,change cognition,blend emotion,and improve sleep.Conclusions:It was a trend to adopt intervention study,especially combined method,on PSD nursing in China.In addition to the understanding of continuous care,cognitive intervention,family and patient collaboration,the researchers' understanding of the method of PSD nursing intervention were not thorough enough.Nursing care for PSD patients should be considered in 5 aspects:relieving emotion,maintaining interaction,changing cognition,blending emotion,and improving sleep.
Objective:To understand the research status of post-stroke depression(PSD)nursing and explore the core nursing intervention methods to PSD patients.Methods:Choosing intervention studies on PSD nursing from high citation papers which fixed by Price's law,dividing these studies into single intervention method on PSD and combined intervention method on PSD,extracted all nursing intervention methods of the latter and coding these methods by two researchers respectively.A total of 15 independent nursing intervention methods were concluded,recorded the cited frequency with Binomial Classification,and used SPSS 22.0 to analyze.Results:There were 69 high citation papers associated with PSD nursing,in which there were 50 intervention studies.Factor analysis was used to extract 5 common factors from 15 nursing intervention methods,which were to relieve emotion,maintain interaction,change cognition,blend emotion,and improve sleep.Conclusions:It was a trend to adopt intervention study,especially combined method,on PSD nursing in China.In addition to the understanding of continuous care,cognitive intervention,family and patient collaboration,the researchers' understanding of the method of PSD nursing intervention were not thorough enough.Nursing care for PSD patients should be considered in 5 aspects:relieving emotion,maintaining interaction,changing cognition,blending emotion,and improving sleep.
引文
[1]Mbelesso P,Senekian VP,Yangatimbi E,et al.Depression post stroke in Africa:myth or reality?[J].Bull Soc Pathol Exot,2014,107(5):350-355.
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[3]杨卜凡,杨应成,刘昊,等.卒中后抑郁对预后影响的研究进展[J].医学综述,2016,22(1):101-104.
[4]Carod-Artal FJ.Post-stroke depression(Ⅱ):its differential diagnosis,complications and treatment[J].Rev Neurol,2006,42(4):238-244.
[5]梅利平,刘宏军,方向华,等.北京社区缺血性卒中后抑郁与卒中再发和死亡关系的研究[J].中国脑血管病杂志,2013,10(5):239-243.
[6]李菊英,何爱香,吴朝荣.PSD情绪对预后的影响[J].中国临床心理学杂志,2001,9(4):293-294.
[7]刘永珍,于逢春,尹静,等.PSD状态对预后的影响:7年随访[J].中国神经精神疾病杂志,2010,36(5):292-295.
[8]曾雪莲.护理干预在PSD患者治疗中的作用观察[J].齐齐哈尔医学院学报,2013,34(1):122-123.
[9]D·普赖斯,张季娅.洛特卡定律与普赖斯定律[J].科学学与科学技术管理,1984(9):17-22.
[10]彭年冬,谢珍暖.图书情报核心期刊高被引论文统计分析与研究[J].大学图书情报学刊,2014,32(4):88-93.
[11]刘雪立.基于Web of Science和ESI数据库高被引论文的界定方法[J].中国科技期刊研究,2012,23(6):975-978.
[12]李桂林,费静霞,冷文娟,等.综合护理干预对脑卒中后抑郁的影响[J].中国健康心理学杂志,2013(1):58-60.
[13]国家卫生和计划生育委员会.关于进一步深化优质护理、改善护理服务的通知[EB/OL].[2015-03-17].http://www.nhfpc.gov.cn/yzygj/s3593/201503/7bfe482ac 571419e9e901909180d9916.shtml.
[14]吴天云.脑卒中后抑郁治疗对神经功能康复的影响[J].中国康复,2005,20(2):100.
[15]赵伟.综合医院门诊焦虑抑郁状态和睡眠障碍的关系.中国睡眠研究会睡眠障碍专业委员会、首都医科大学宣武医院.第六届中国睡眠医学论坛暨中国睡眠研究会睡眠障碍专业委员会成立十周年论文汇编[C].中国睡眠研究会睡眠障碍专业委员会、首都医科大学宣武医院,2015:1.
[2]Schulte-Altedorneburg M,Bereczki D.Post-stroke depression[J].Orv Hetil,2014,155(34):1335-1343.
[3]杨卜凡,杨应成,刘昊,等.卒中后抑郁对预后影响的研究进展[J].医学综述,2016,22(1):101-104.
[4]Carod-Artal FJ.Post-stroke depression(Ⅱ):its differential diagnosis,complications and treatment[J].Rev Neurol,2006,42(4):238-244.
[5]梅利平,刘宏军,方向华,等.北京社区缺血性卒中后抑郁与卒中再发和死亡关系的研究[J].中国脑血管病杂志,2013,10(5):239-243.
[6]李菊英,何爱香,吴朝荣.PSD情绪对预后的影响[J].中国临床心理学杂志,2001,9(4):293-294.
[7]刘永珍,于逢春,尹静,等.PSD状态对预后的影响:7年随访[J].中国神经精神疾病杂志,2010,36(5):292-295.
[8]曾雪莲.护理干预在PSD患者治疗中的作用观察[J].齐齐哈尔医学院学报,2013,34(1):122-123.
[9]D·普赖斯,张季娅.洛特卡定律与普赖斯定律[J].科学学与科学技术管理,1984(9):17-22.
[10]彭年冬,谢珍暖.图书情报核心期刊高被引论文统计分析与研究[J].大学图书情报学刊,2014,32(4):88-93.
[11]刘雪立.基于Web of Science和ESI数据库高被引论文的界定方法[J].中国科技期刊研究,2012,23(6):975-978.
[12]李桂林,费静霞,冷文娟,等.综合护理干预对脑卒中后抑郁的影响[J].中国健康心理学杂志,2013(1):58-60.
[13]国家卫生和计划生育委员会.关于进一步深化优质护理、改善护理服务的通知[EB/OL].[2015-03-17].http://www.nhfpc.gov.cn/yzygj/s3593/201503/7bfe482ac 571419e9e901909180d9916.shtml.
[14]吴天云.脑卒中后抑郁治疗对神经功能康复的影响[J].中国康复,2005,20(2):100.
[15]赵伟.综合医院门诊焦虑抑郁状态和睡眠障碍的关系.中国睡眠研究会睡眠障碍专业委员会、首都医科大学宣武医院.第六届中国睡眠医学论坛暨中国睡眠研究会睡眠障碍专业委员会成立十周年论文汇编[C].中国睡眠研究会睡眠障碍专业委员会、首都医科大学宣武医院,2015:1.