Influence of discharge plan on prognosis of post stroke patients with depression

She Qiuqun; Xiao Li; Tian Yan

doi:10.3969/j.issn.1674-4748.2015.29.011

Abstract：Objective:To probe into the influence of discharge plan on prognosis of post stroke patients with de-pression.Methods:A total of 1 60 stroke patients were divided into the observation group and control group by the hospitalization single or double days,80 cases in each.The control group received the routine nursing of neu-rology,while the observation group implemented the discharge plan on the basis of the routine nursing,and strictly carried out the plan.Then had the assessment of the depression (Hamilton depression scale)and activity of daily living (BI scale)before the intervention,3 months and 6 months after the intervention,to assess the in-cidence of depression.Results:The incidence of depression of observation group was 21.79% at 3 months after the intervention,which was lower than 48.05% of control group(P <0.05).The incidence of depression of ob-servation group was 17.95% at 6 months after the intervention,while the incidence in control group was 51.95%, which was higher than that of observation group(P <0.05).At 3 months after the intervention,the patients’ depression score of observation group was 6.22 ± 6.71,which was lower than that (9.05 ± 6.84)of control group (P <0.05).At 6 months after the intervention,the patients’depression score in observation group was 5.04±5.63,while the score of control group was 9.09±5.66,which was higher than that of observation group (P <0.05).At 3 months after the intervention,the patients’ability of daily living score of observation group was 52.56±13.91,which was higher than that (42.60±1 6.56)of control group (P <0.05).At 6 months after the intervention,the patients’ability of daily living score of observation group was 60.64 ± 1 6.91,while the score of control group was 49.29 ±17.52,which was lower than that of observation group (P <0.05).Conclu-sion:The implementation of the discharge plan can effectively reduce the incidence of poststroke depression,re-lieve the symptoms of depression and improve the patients’activity of daily living.