早期心理干预对老年脑卒中患者日常生活活动能力的影响  

Effects of Early Psychological Intervention on Activity of Daily Living of Old Stroke Patients

作　　者：刘前[1] 李彬[1] 王元善[1] 高丽丽[1] 

机构地区：[1]青岛海慈医院,山东青岛市266033

出　　处：《中国康复理论与实践》2008年第5期461-462,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探索早期心理干预对老年脑卒中患者日常生活活动能力的影响。方法120例首次发生急性脑卒中的老年患者分为干预组和对照组,每组各60例。对照组给予常规治疗,干预组在常规治疗的基础上给予早期心理干预。于治疗前和治疗后第2、4、12周末采用改良Barthel指数(MBI)和美国国立卫生研究院卒中量表(NIHSS)进行评定。结果治疗后第4周末和第12周末,干预组的MBI和NIHSS评分较对照组改善(P<0.05)。结论早期心理干预能够促进老年脑卒中患者日常生活活动能力和神经功能的恢复。Objective To study the effect of psychological intervention on activity of daily living （ADL） in old stroke patients. Methods 120 old stroke patients were divided into treatment group and control group, each including 60 cases. All the cases accepted routine neurological therapy and early rehabilitation training. The patients in the treatment group were additionally treated with psychological intervention. Before and 2, 4 and 12 weeks after treatment, they were assessed with modified Bathel Index （MBI） and National Institutes of Health Stroke Scale （NIHSS）. Results 4 and 12 weeks after treatment, the scores of MBI and NIHSS improved more in treatment group than in control group （P〈0.05）. Conclusion Psychological intervention can facilitate the recovery of neural function and ADL after stroke.

关 键 词：脑卒中 心理干预 日常生活活动能力 神经功能缺损 

分 类 号：R743.3[医药卫生—神经病学与精神病学]