老年脑卒中后抑郁患者早期心理干预的临床观察  

Clinic observation of Early Psychotherapy to the Post-strok Depression of the elderly patients

作　　者：刘振红[1] 苏便苓[1] 李拥军[1] 闫丽娜[1] 黄娣[1] 

机构地区：[1]河北医科大学第二医院精神心理科,石家庄050000

出　　处：《脑与神经疾病杂志》2009年第2期127-129,共3页Journal of Brain and Nervous Diseases

摘　　要：目的探讨早期心理干预对老年人脑卒中后抑郁(PSD)的治疗效果。方法老年脑卒中患者在住院一周内采用汉密顿抑郁量表(HRSD)进行筛选评分,对符合抑郁状态诊断的患者87例随机分为干预组和常规组,常规组采用常规的药物治疗和护理,干预组同时给予早期心理干预,6周后采用Spitzer生存质量指数量表(QLI)和HRSD对两组进行评定。结果经过早期心理干预后,干预组在健康感觉、家庭和社会的支持以及对前景的认识方面明显优于常规组,干预组患者的抑郁情况与常规组比较明显改善(P<0.05)。结论对老年脑卒中后抑郁患者早期系统的心理干预可明显改善抑郁,加快神经缺失功能恢复,提高生活质量。Objective To investigate the rehabilitation outcome of early psychotherapy to post-stroke de- pression of the elderly patients. Methods After aged patients with stroke are hospitalized, they are filtered and graded by hamiliton depression rating scale（HRSD） in a week, for 87 patients with depression were divided into psy- chotherapy group（ subject to normal rehabilitation therapy and psychotherapy） and normal group（ only subject to nor- mal rehabilitation） randomly. Both two groups are contrasted by spitzer quality of life inventory（QLI） and HRSD af- ter 6-weeks. Results Through the early psychotherapy, the psychotherapy group is obviously superior to normal group in health, support of family and social, and the understanding to prospect. Otherwise, the patients of psycho- therapy group are improved in situation of depression（P 〈 0.05）. Conclusion The early systemic psychotherapy is effective in cureing depression,fastening the comeback of every function,and improving the quality of life.

关 键 词：早期心理干预 脑卒中后抑郁 老年人 

分 类 号：R743[医药卫生—神经病学与精神病学]