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心理干预对老年脑卒中患者康复疗效的影响

The effect of psychological intervention on the rehabilitation effect of elderly stroke patients

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目的:探讨心理干预对老年脑卒中患者康复疗效的影响,为老年脑卒中患者康复提供依据。方法:将60例老年脑卒中康复患者随机分为对照组与观察组,每组各30例。两组均给予脑血管病常规药物治疗,对照组给予一般健康教育,观察组在此基础上给予4周系统心理干预(包括基础心理干预、个体化心理干预、家庭心理干预)。治疗前后,采用汉密顿抑郁量表(HAMD)、MOrisy问卷和斯堪的纳维亚卒中量表(SSS)对两组患者康复效果进行评价。结果:治疗前两组HAMD 、MOrisy问卷、SSS评分均无显著性差异(P>0.05);治疗后两组HAMD 、MOrisy问卷、SSS 评分均低于治疗前,有显著性差异(P<0.05),治疗后观察组HAMD 、MOrisy问卷、SSS 评分均明显低于对照组,具显著性差异(P<0.01)。结论:心理干预可减少老年脑卒中患者负性情绪,减少抑郁发生;提高治疗依从性;改善神经功能缺损症状;增强临床康复效果。
To explore the effect of psychological intervention on the rehabilitation effect of elderly patients with stroke, and provide the basis for the rehabilitation of the elderly stroke patients. Methods:60 cases of elderly stroke patients were randomly divided into control group and observation group, each group of 30 cases. The two groups were given routine drug treatment of cerebrovascular disease, control group were given general health education, the observation group based on the system of psychological intervention for 4 weeks (including basic psychological intervention, individual intervention, family intervention). Before and after the treatment, the Hamilton Rating Scale for depression (HAMD), MOrisy questionnaire and the Scandinavia Stroke Scale (SSS) to evaluate the rehabilitation effect of two groups. Results before treatment, two groups of HAMD, MOrisy questionnaire, SSS score showed no significant difference (P >0.05); two groups of HAMD, MOrisy questionnaire, SSS scores were lower after treatment before treatment, there were significant differences (P<0.05), observed after treatment of group HAMD, MOrisy questionnaire, SSS scores were significantly lower than the control group, with significant difference (P < 0.01). Conclusion psychological intervention can reduce the elderly stroke patients with negative emotions, reduce depression;improve therapy compliance;improve the neurological function deficit;to strengthen the clinical healing effect.

Psychological interventionstrokerehabilitationtherapeutic effect

王丽娟、王吉荣

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济南军区联勤部第一干休所 山东 济南 250002

山东省军区济南第一干休所 山东 济南 250002

心理干预 脑卒中 康复 疗效 影响

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(6)
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