康复期脑卒中后焦虑抑郁患者心理干预效果评价  

Effects of psychological intervention on anxiety and depression of post-stroke patients

作　　者：吕应春[1] 王振英[1] 宋景贵[1] 王保红 

机构地区：[1]新乡医学院第二附属医院,河南新乡453002 [2]许昌市建安医院

出　　处：《中国临床护理》2012年第4期280-282,共3页Chinese Clinical Nursing

基　　金：河南省医学科技创新人才工程项目(编号:200569)

摘　　要：目的探讨支持性心理治疗和认知疗法对康复期脑卒中后焦虑抑郁患者的效果。方法将58例脑卒中后焦虑抑郁患者随机分为干预组和对照组,每组各29例。2组均接受系统的药物治疗和常规康复护理,干预组在此基础上给予支持性心理治疗和认知治疗。于治疗前及治疗2周末采用焦虑自评量表(SAS)评定2组焦虑症状改善情况,汉密顿抑郁量表(HAMD)评估2组抑郁症状改善情况。结果干预组干预2周末SAS评分明显低于对照组,HAMD减分率高于对照组。结论心理干预能有效改善康复期脑卒中患者的焦虑抑郁情绪,可以显著提高卒中患者的生存质量和生活质量。Objective To explore the effect of supportive psychotherapy and cognitive therapy on anxiety and depression of post-stroke patients. Methods 58 post-stroke patients with anxiety and depression were randomly divided into intervention group （n=29） and control group （n=29）. Both groups received system medication treatment and regular rehabilitation nursing, the intervention group was given supportive psychotherapy and cognitive therapy additionally. The self-rating anxiety scale （SAS） and the Hamition depression scale （HAMD） were used to assess the improvement of depressive symptoms. Results After 2 weeks treatment, the SAS scores in the intervention group were lower than that in control group,and the improvement of depressive symptoms were better than that in control group. Conclusion Psychological intervention can effectively reduce depression and anxiety of post-stroke patients, and improve the quality of life of post-stroke patients.

关 键 词：脑卒中 焦虑 抑郁 心理干预 焦虑自评量表 汉密顿抑郁量表 

分 类 号：R473.74[医药卫生—护理学]