早期康复对脑血管病所致精神障碍患者生活质量和社会融入影响的研究  

Effects of early rehabilitation on quality of life and social accesses in patients with mental disorders caused by brain vascular disease

作　　者：潘淑先[1] 李吉柱[1] 宋丽娜[1] 郭瑞友[2] 李盛书[1] 

机构地区：[1]山东省青岛市精神卫生中心,266034 [2]青岛大学医学院附属医院

出　　处：《精神医学杂志》2010年第6期424-426,共3页Journal of Psychiatry

摘　　要：目的研究规范化治疗模式的早期康复治疗对脑血管病所致精神障碍患者的功能障碍、生活质量及社会融入的长期影响。方法选择64例脑血管病所致精神障碍患者随机分为康复组和对照组各32例。两组患者均接受临床常规治疗、针灸治疗及心理治疗,康复组待生命体征稳定48h后进行康复治疗。分别于入选时和病程6个月时评估汉化版SF-36健康调查量表。结果康复组在康复6个月后,在生活质量的各个维度改善程度均明显好于对照组,差异具有显著性意义(P<0.05)。康复组患者在康复六个月后与入组时相比,除躯体疼痛评分无显著性差异外(P>0.05),其余各维度评分差异均具有显著性意义(P<0.05)。结论早期康复对脑血管病所致精神障碍患者的躯体功能、精神状况、心理和社会功能度均具有良好的远期影响,有助于患者提高生存质量、生活自理、回归家庭和社会。Objective To study the effects of early rehabilitation on quality of life and social accesses in patients with mental disorders caused by cerebral vascular diseases. Methods 64 patients were randomly divided into rehabilitation group （n=32） and control group （n=32）. Two groups were treated with routine clinical treatment, acupuncture treatment and psychological treatment. Rehabilitation group began rehabilitation treatment after 48 hours of vital signs stable. Two groups were evaluated with the SF-36 scale at baseline and at the end of the 6th month. Results At the end of the 6th month, patients in rehabilitation group showed significant improvements in various dimensions of quality of life than those in control group （P〈0.05）. Compared with the baseline, patients in rehabilitation group showed significant differences in score of each dimension（P〈0.05）except the item of pain of the body（P〉0.05）. Conclusion Early rehabilitation can improve the somatic function, psychological function and social function in patients with mental disorders caused by cerebral vascular disease.

关 键 词：脑血管病所致精神障碍 康复 生活质量 社会融入 

分 类 号：R749.1[医药卫生—神经病学与精神病学]