Effects of Health Education for Mental Health in Patients with Cerebrovascular Diseases
HAO Ming-Hua;ZHOU Shu-Jie;SHI Yu-Zhi;et al
2012, 7(07):
524-530.
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Objective To discuss the effects of comprehensive health education model on the anxiety anddepressive disorders of patients with cerebrovascular diseases.Methods The Hamilton Rating Scale for Depression(HRSD) and Hamilton Anxiety Scale(HAMA)were applied to evaluate the severity of anxiety-depression. Sixty outpatients with cerebrovasculardiseases suffering from anxiety-depression were divided into experimental group and control groupwith 30 cases in each group. The control group received only conventional mode of education, andtook anti anxiety-depression medicines of selective serotonin reuptake inhibitors(SSRIs); while theexperimental group received health education together with taking SSRIs anti anxiety-depressionmedicines. Three months later, the experimental group and the control group were re-evaluated byHRSD and HAMA.Results After 3 months treatment, in the experimental group, there are 11 cases(36.7%) whichdon’t have anxiety, 15 cases(50%) may have anxiety, and 4 cases(13.3%) have anxiety certainly.In the control group, there are 2 cases(6.6%) which don’t have anxiety, 14 cases(46.7%) may haveanxiety, and 14 cases(46.7%) have anxiety certainly. It shows that the alleviate anxiety effectof 3 months treatment to anxiety disorder of experimental group is significantly better than thatof the control group(P <0.05). After 3 months treatment, in the experimental group, there are 12cases(40%) which don’t have depression, 15 cases(50%) may have depression, and 3 cases(10%)have depression certainly. In the control group, there is 1 case (3.3%) which doesn’t havedepression, 18 cases(60%) may have depression, and 11 cases(36.7%) have depression certainly.The alleviate depression effect of 3 months treatment to depression disorder of experimentalgroup is significantly better than that of the control group(P <0.05). After 3 months treatment,the conditions of all 60 patients with anxiety and depression in both the experimental group andcontrol group were improved. Comparing the two groups, the effect of prevention and mitigationof anxiety and depression of patients receiving health education care coupled with taking antianxiety-depression drugs treatment is significantly greater than that of the control group withconventional mode care. The result of Rank sum test showed(P <0.05).Conclusion The effect of health education care together with drug therapy to prevent and alleviatethe patient's anxiety and depression is better than medication alone. Effective health education canenhance the self health care consciousness of patients with cerebrovascular diseases, and reduce theanxiety depression.
