心理干预脑卒中后抑郁患者的效果评价  

Evaluation of effect of psychological intervention on patients with post-stroke depression

作　　者：金艳新 张利 黄征 倪琼 JIN Yanxin;ZHANG Li;HUANG Zheng;NI Qiong(General Practice Department of Tinglin Community Health Service Center of Jinshan District,Shanghai 201505,China)

机构地区：[1]上海市金山区亭林镇社区卫生服务中心全科,上海201505

出　　处：《上海医药》2023年第24期44-46,共3页Shanghai Medical & Pharmaceutical Journal

基　　金：社区护理与社区健康促进项目课题(中国社区健康联盟护理中心N-PSBH2021-19)。

摘　　要：目的:探究心理干预对脑卒中后抑郁(post stroke depression,PSD)患者的影响。方法:2020年1月-2020年12月在亭林社区新发脑卒中患者中选取90例,随机分为对照组和试验组,各45例,其中男性46名(51.1%),女性44名(48.9%);年龄65~80岁,平均年龄(70.03±3.65)岁。对照组开展常规指导干预;试验组在常规指导干预的基础上积极开展心理干预。比较两组患者干预后的抑郁心理的改善和对疾病的认知率及生活质量的改善情况。结果:试验组干预后的老年抑郁量表(GDS)和脑卒中特定生存质量量表(SS-QOL)评分分别是(10.31±1.96)分和(174.67±14.83)分,对照组分别是(13.58±1.59)分,(158.87±14.38)分,差异均有统计学意义(均P<0.05);干预后试验组对疾病的认知率为84.44%,高于对照组的64.44%,差异有统计学意义(P<0.05)。结论:积极进行心理干预能够帮助脑卒中后抑郁患者改善抑郁状态,提高患者对疾病认知水平,改善患者的生存质量和生活水平。Objective:To explore the influence of psychological intervention on patients with post-stroke depression.Methods:From January 2020 to December 2020,90 patients with new stroke in Tinglin Community were selected and randomly divided into a control group and an experimental group with 45 cases in each group,among them there were 46 male cases(51.1%)and 44 female cases(48.9%);the age was 65~80 years old and the average age was(70.03±3.65)years.The control group carried out the routine guidance intervention;the experimental group actively carried out psychological intervention on the basis of routine guidance intervention.The improvement of depressive psychology,the recognition rate of diseases and the improvement rate of quality of life of the two groups of patients after intervention were compared.Results:The scores of geriatric depression scale(GDS)and stroke specific quality of life scale(SS-QOL)in the experimental group were(10.31±1.96)points and(174.67±14.83)points,respectively and those in the control group were(13.58±1.59)points and(158.87±14.38)points,respectively,and the difference was statistically significant(P<0.05);after intervention the recognition rate of diseases was 84.44%in the experimental group,which was higher than that 64.44%in the control group,and the difference was statistically significant(P<0.05).Conclusion:The positive psychological intervention can help for patients with post-stroke depression to improve their depressive state,promote patients to fully understand this disease,improve their quality of life,and living standards.

关 键 词：卒中后抑郁 心理干预 效果 老年抑郁量表 脑卒中特定生存质量量表 

分 类 号：R743.3[医药卫生—神经病学与精神病学]