应激系统理论的心理干预措施对脑卒中吞咽障碍患者心理状态及功能康复的影响  

Effect of psychological intervention measures based on stress system theory on psychological state and functional rehabilitation of patients with dysphagia after stroke

作　　者：陈清云 吕秋霞[2] 陈贺荣 CHEN Qingyun;LV Qiuxia;CHEN Herong(Rehabilitation Department of Zhumadian Traditional Chinese Medicine Hospital,Zhumadian 463000,China;Department of Colorectal Medicine,Henan Provincial Hospital of Traditional Chinese Medicine;Nursing Department of Zhumadian Traditional Chinese Medicine Hospita)

机构地区：[1]河南省驻马店市中医院康复科,463000 [2]河南省中医院肛肠科 [3]驻马店市中医院护理部

出　　处：《中国健康心理学杂志》2025年第4期559-563,共5页China Journal of Health Psychology

基　　金：河南省中医药科学研究专项课题(编码:2024ZY2210)。

摘　　要：目的:探讨基于应激系统理论的心理干预措施对脑卒中吞咽障碍患者心理状态及功能康复的应用效果。方法:选取某院2022年10月—2024年11月收治的100例脑卒中吞咽障碍患者,依据随机数字表法将其分为对照组和研究组(各50例)。对照组给予常规干预,研究组在对照组基础上实施基于应激系统理论的心理干预措施。比较两组心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、吞咽功能[洼田饮水试验(KWST)、标准吞咽功能评定量表(SSA)评分]、康复效果、生活质量[吞咽障碍特异性生活质量量表(SWALQOL)评分]及并发症发生情况。结果:干预后,研究组SAS、SDS、KWST、SSA评分均低于对照组(t=5.656,3.455,7.541,4.563;P<0.05);研究组总有效率高于对照组(χ^(2)=5.263;P<0.05);研究组SWALQOL各维度及总分均高于对照组(t=7.402,3.010,5.115,3.155,3.191,4.386,5.588,3.504,4.729,7.875,2.774,6.522;P<0.05);研究组并发症总发生率低于对照组(χ^(2)=4.762,P<0.05)。结论:对于脑卒中吞咽障碍患者,基于应激系统理论的心理干预措施具有确切康复效果,可改善其心理状态,促进吞咽功能恢复,提高生活质量,减少并发症发生。Objective:To explore the application effect of psychological intervention measures based on stress system theory on psychological state and functional rehabilitation of patients with dysphagia after stroke.Methods:One hundred patients with dysphagia after stroke admitted to our hospital from October 2022 to November 2024 were randomly divided into control group and study group(50 cases each).The control group was given routine intervention,and the study group was given psychological intervention measures based on stress system theory on the basis of the control group.The psychological status[self-rating anxiety scale(SAS),self-rating depression scale(SDS)scores],swallowing function[Kuwada drinking water test(KWST),standardized swallowing assessment(SSA)scores],rehabilitation effect,quality of life[swallow quality of life questionnaire(SWALQOL)score]and complications of the two groups were compared.Results:After the intervention,the scores of SAS,SDS,KWST and SSA in the study group were lower(t=5.656,3.455,7.541,4.563;P<0.05).The total effective rate of the study group was higher(χ^(2)=5.263;P<0.05).The dimensions and total scores of SWALQOL in the study group were higher(t=7.402,3.010,5.115,3.155,3.191,4.386,5.588,3.504,4.729,7.875,2.774,6.522;P<0.05).The total incidence of complications in the study group was lower(χ^(2)=4.762;P<0.05).Conclusion:For stroke patients with dysphagia,psychological intervention measures based on stress system theory have definite rehabilitation effect,which can improve their psychological state,promote the recovery of swallowing function,improve their quality of life and reduce complications.

关 键 词：脑卒中 吞咽障碍 应激系统理论 心理干预 心理状态 功能康复 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]