Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jul 15;13(7):8021-8030.
eCollection 2021.

Analysis of the application of "psycho-cardiology" model in nursing care of acute stroke patients with depression

Juan Wei  1 , Xiangyuan Chen  1 , Chunyan Wen  1 , Jingjie Huang  1 , Weijun Fang  1 , Xiaohua Yang  1 , Huijuan Chen  1 , Chun Liang  1 , Ying Tang  1 , Lingxiao Wang  2
Affiliations

Analysis of the application of "psycho-cardiology" model in nursing care of acute stroke patients with depression

Juan Wei et al. Am J Transl Res. .

Abstract

Objective: To evaluate the effect of "psycho-cardiology" model in nursing care of acute stroke patients with depression.

Methods: Seventy-eight acute stroke patients with depression were selected for this prospective study, and they were divided into two groups according to the random number table method. The control group (n=39) were given usual care, and the study group (n=39) were given nursing intervention of "psycho-cardiology" model in addition to usual care. The changes of mental state (Hamilton Depression Scale, HAMD; Hamilton Anxiety Scale, HAMA), the neurological function (National Institute of Health Stroke scale, NIHSS), and the cognitive function (Mini-Mental State Examination, MMSE), the prognostic indicator (Fugl-Meyer Assessment, FMA; Barthel Index, BI) were compared between the two groups before and after the intervention. The incidence of complications and nursing satisfaction were also compared between the two groups.

Results: After nursing, the scores of HAMA and HAMD in the study group were significantly lower than those in the control group (P<0.05). The NIHSS score of the study group was significantly lower than that of the control group (P<0.05). The score of MMSE in the study group was significantly higher than that of the control group (P<0.05). The scores of FMA and BI in the study group were significantly higher than those of the control group (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). The nursing satisfaction of the study group was significantly higher than that of the control group (P<0.05).

Conclusion: Nursing intervention of "psycho-cardiology" model for acute stroke patients with depression can effectively alleviate the mental stress of patients, improve neurological function and cognitive function, reduce the occurrence of complications, improve prognosis and nursing satisfaction.

Keywords: Stroke; activity of daily living; anxiety; cognitive function; depression; motor function; neurological function.

PubMed Disclaimer

Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Comparison of MMSE scores between the two groups. A: The scores of the sense of orientation; B: The scores of memory; C: The scores of attention and calculation ability; D: The scores of language ability; E: The scores of reading comprehension; F: Total score. Compared with this group before nursing, ***P<0.001; Compared with the control group after nursing, #P<0.05, ##P<0.01, ###P<0.001. MMSE: Mini-Mental State Examination.
Figure 2
Figure 2
Comparison of FMA and Barthel scores between the two groups. A: FMA score; B: Barthel score. Compared with this group before nursing, ***P<0.001; Compared with the control group after nursing, ###P<0.001. FMA: Fugl-Meyer Assessment; Barthel: activity of daily living.
See this image and copyright information in PMC

References

    1. Guzik A, Bushnell C. Stroke epidemiology and risk factor management. Continuum (minneap minn) 2017;23:15–39. - PubMed
    1. Cai W, Mueller C, Li YJ, Shen WD, Stewart R. Post stroke depression and risk of stroke recurrence and mortality: a systematic review and meta-analysis. Ageing Res Rev. 2019;50:102–109. - PubMed
    1. Villa RF, Ferrari F, Moretti A. Post-stroke depression: mechanisms and pharmacological treatment. Pharmacol Ther. 2018;184:131–144. - PubMed
    1. Das J, G K R. Post stroke depression: the sequelae of cerebral stroke. Neurosci Biobehav Rev. 2018;90:104–114. - PubMed
    1. Chander RJ, Lam BYK, Lin X, Ng AYT, Wong APL, Mok VCT, Kandiah N. Development and validation of a risk score (CHANGE) for cognitive impairment after ischemic stroke. Sci Rep. 2017;7:12441. - PMC - PubMed

LinkOut - more resources