心理干预对脑卒中后抑郁患者康复的作用  

Rehabilitation Effect of Psychological Intervention on Patients with Post-stroke Depression

作　　者：符晓艳[1] 赵秋菊[1] 刘文伟[1] 王羚入[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所神经内科,重庆400042

出　　处：《解放军医药杂志》2014年第8期99-101,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：重庆市自然科学基金(cstc2012jjA10111)

摘　　要：目的探讨心理干预对脑卒中后抑郁(PSD)患者康复的作用。方法选择2012年9月—2013年8月在第三军医大学大坪医院野战外科研究所神经内科住院治疗的急性PSD 80例,随机分为观察组和对照组,每组40例。对照组予单纯药物治疗,观察组采用药物治疗联合心理干预。采用汉密尔顿抑郁量表(HAMD)、Barthel日常生活活动能力(ADL)指数、脑卒中神经功能缺损(NDS)评分分别对两组进行疗效评定。结果两组治疗前HAMD评分、ADL指数及NDS评分差异无统计学意义(P>0.05),治疗后6周,观察组上述指标均显著低于对照组(P<0.01,P<0.05)。结论对PSD患者予药物治疗的同时进行有效的心理干预,能改善患者的心理状态,提高其生活质量。Objective To explore the rehabilitation effect of psychological intervention on patients with post-stroke depression （ PSD） . Methods A total of 80 inpatients with acute PSD during September 2012 and August 2013 were randomly divided into observation group （n=40） and control group （n=40）. The control group received the drug therapy only, while the observation group received drug treatment combined with psychological intervention. The curative effects of the two groups were evaluated using Hamilton depression scale （ HAMD） , Barthel indexes of activities of daily living （ ADL） , and stroke neurological disability scale （ NDS） . Results The differences in HAMD score, ADL indexes and NDS score in the two groups before treatment were not statistically significant （ P 〉0. 05 ）; the levels of HAMD score, ADL indexes and NDS score 6 weeks after treatment in observation group were significantly lower than those in control group （P〈0. 01, P〈0. 05）. Conclusion The medication combined with effective psychological intervention for patients with PSD can improve the patient＇s mental condition and quality of life.

关 键 词：卒中 抑郁 心理护理 治疗结果 

分 类 号：R471[医药卫生—护理学] R473.74[医药卫生—临床医学]