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目的 探讨整体护理对卒中后抑郁患者生活质量的影响.方法 将74例卒中后抑郁患者采用随机数字表法分为整体护理组与常规护理组,各37例.常规护理组给予神经内科常规护理,整体护理组在常规护理基础上给予整体护理.于治疗前及治疗3个月后分别采用巴氏指数评定量表评定患者的生活质量,采用抑郁自评量表评定患者的抑郁状况,比较两组的干预总有效率.结果 干预后两组巴氏指数评定量表评分均显著高于干预前(P<0.01),整体护理组较常规护理组升高更显著(P<0.01);两组抑郁自评量表评分均显著低于干预前(P<0.01),整体护理组较常规护理组下降更显著(P<0.01).整体护理组总有效率89.2%,常规护理组为70.3%,整体护理组显著高于常规护理组(P<0.05).结论 整体护理干预可以提高卒中后抑郁患者的生活质量,缓解抑郁症状,促进神经功能恢复.“,”Objective To explore the influence of holistic nursing on quality of life of post-stroke depression (PD) patients. Methods Seventy-four PD patients were assigned to holistic (holistic group) and routine nursing group (routine group) of 37 ones each according to random number table. Routine group received neuro-medical routine nursing and holistic group was plus holistic nursing no the basis of routine nursing. Qualities of life were assessed with the Barthel Index (BI),depressive conditions with the Self-rating Depression Scale (SDS),and group total effective rates compared before treatment and after 3 month treatment. Results After intervention the BI scores of both groups were significantly higher compared with pre-treatment (P<0.01) and that heightened more significantly in holistic than in routine group (P<0.01);the SDS scores of both groups were significantly lower compared with pre-treatment (P<0.01) and that lowered more significantly in holistic than in routine group (P<0.01). The total effective rate was respectively 89.2% in holistic and 70.3% in routine group,the former significantly higher than the latter (P<0.05). Conclusion Holistic nursing could boost the quality of life of PD patients,relieve depressive symptoms,and promote the recovery of nervous function.