心理行为治疗对脑卒中患者临床疗效及生活质量影响的研究  被引量:12

Clinical research on the influence of quality of life and clinical effect of psycho-behavior therapy for stroke patients

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作  者:林海峰 陈湛音 陈文荣 梁宇航 

机构地区:[1]广东湛江市中心人民医院神经内科,湛江524000

出  处:《中国实用神经疾病杂志》2009年第13期4-6,共3页Chinese Journal of Practical Nervous Diseases

摘  要:目的观察心理行为治疗对脑卒中患者的临床疗效及生活质量的影响。方法120例脑卒中患者随机分为治疗组和对照组,对照组患者接受常规治疗、护理及康复训练,治疗组在对照组基础上进行心理行为干预治疗4周。治疗前及治疗后4周2组分别进行症状自评量表(SCL-90)、生活质量综合评定问卷(GQOLI)评定、Fugl-Meger评分、FMA评定运动功能康复情况和Barthel指数评定日常生活活动能力。结果治疗组SCL-90在躯体化、人际关系、抑郁焦虑、恐怖因子上得分明显,生活质量综合评定中社会功能维度、心理健康维度、躯体健康维度、总体生活功能维度得分高于对照组(P<0.05)。Fugl-Meger评分、Barthel指数评分、FCA运动功能、FCA认识功能明显优于对照组(P<0.05)。结论心理行为治疗能明显提高脑卒中患者的临床疗效,改善心理健康,提高生活质量。Objective To observe the influence on quality of life and clinical effect of stroke patients with psycho-behavior therapy. Methods One hundred and twenty cases of stroke patients were divided into treatment group and control group. Control group was given conventional therapy, attendance and rehabilitation training, treatment group underwent 4 weeks of psycho-behavior therapy on the basis of control group. Four weeks before and after therapy, symptom checklist (SCL- 90), generic quality of life inventory (GQOLI), score of Fugl-Meger were used to evaluate motor functional rehabilitation by FMA and locomotor activities of daily living by Barthel index. Results In treatment group, SCL-90 got obvious score in somatization, interpersonal relationship, depression and anxiety, and phobic factor. Dimensionality of social function, mental health, body health and total vital function of generic quality of life were higher than that of control group (P〈0.05), and scores of Fugl-Meger, Barthel index, FCA motor function and FCA cognitive function surpassed control group obviously (P〈0.05). Conclusion Psycho-behavior therapy can improve clinical effect, mental health and quality of life of stroke patients obviously.

关 键 词:心理行为治疗 脑卒中 康复 生活质量 

分 类 号:R743.3[医药卫生—神经病学与精神病学]

 

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