脑卒中康复期患者心理弹性与创伤后应激障碍相关性研究
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摘要
目的旨在分析脑卒中康复期患者心理弹性与创伤后应激障碍(PTSD)相关性。方法选取我院神经内科于2016年1月~2017年4月期间收治124例康复期脑卒中患者作为观察对象。分别使用一般情况自制调查问卷、心理弹性量表和创伤后应激障碍问卷调查患者一般情况、家庭情感支持和创伤后应激障碍。结果康复期脑卒中患者心理弹性量总分(61.19±8.62)分,创伤后应激障碍总分(40.54±10.81)分。患者心理弹性与创伤后应激障碍呈现显著负相关性(P<0.01)。结论脑卒中康复期患者具有较高的PTSD的发生率,且心理弹性较差。患者的心理弹性程度与PTSD严重程度有负相关,临床中应重视对此类患者及早的予以心理干预。
Objective To analyze the correlation between psychological resilience and post-traumatic stress disorder(PTSD)in rehabilitation stage of stroke patients. Methods 124 patients with convalescent stroke were selected as observation objects in neurology department of our hospital from January 2016 to April 2017. The general situation,psychological resilience and Post traumatic stress disorder of the patients were investigated by general questionnaire,Psychological Resilience Scale and post-traumatic stress disorder questionnaire. Results The total scores of psychological resilience in convalescent stroke patients were(61.19±8.62)points,the total score of post-traumatic stress disorder were(40.54±10.81). The patients' psychological resilience and post-traumatic stress disorder had a significant negative correlation(P<0.01). Conclusion Patients with stroke in rehabilitation stage have higher incidence of PTSD,and have less psychological resilience. There is a negative correlation between the degree of psychological resilience and the severity of PTSD. Thus,clinical attention should be paid to the early psychological intervention for these patients.
Objective To analyze the correlation between psychological resilience and post-traumatic stress disorder(PTSD)in rehabilitation stage of stroke patients. Methods 124 patients with convalescent stroke were selected as observation objects in neurology department of our hospital from January 2016 to April 2017. The general situation,psychological resilience and Post traumatic stress disorder of the patients were investigated by general questionnaire,Psychological Resilience Scale and post-traumatic stress disorder questionnaire. Results The total scores of psychological resilience in convalescent stroke patients were(61.19±8.62)points,the total score of post-traumatic stress disorder were(40.54±10.81). The patients' psychological resilience and post-traumatic stress disorder had a significant negative correlation(P<0.01). Conclusion Patients with stroke in rehabilitation stage have higher incidence of PTSD,and have less psychological resilience. There is a negative correlation between the degree of psychological resilience and the severity of PTSD. Thus,clinical attention should be paid to the early psychological intervention for these patients.
引文
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4.彭李,李军,李敏,等。成人心理弹性量表在陆军中的应用。第三军医大学学报,2011;33(19):2081-2084
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6.简爱华,郑燕兰,江玉棉,等。老年脑卒中偏瘫患者伤残接受度与心理弹性、社会支持的关系。中国临床护理,2016;8(6):469-472
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8.汪向东,姜经纬。创伤后应激障碍的流行病学特点及危险因素。中华流行病学杂志,2002;23(5):334-337
9.宋玉慧,盛玉霜,徐晚月,等。心理护理对创伤后应激障碍患者的影响。国际精神病学杂志,2015;42(5):114-117
10.王爱红,徐桂华,武秋娣,等。综合护理干预对社区康复期脑卒中患者生活质量及自理能力的影响。中国实用护理杂志,2010;26(8):11-14
11.Pérez L M,Inzitari M,RoquéM,et al.Change in cognitive performance is associated with functional recovery during post-acute stroke rehabilitation:a multi-centric study from intermediate care geriatric rehabilitation units of Catalonia.Neurological Sciences,2015;36(10):1-6
2.王志阳,汤月芬,施慎逊。创伤后应激障碍国内研究现状。上海精神医学(Shanghai Archives of Psychiatry),2006;18(6):372-374
3.王华,潘亚英,孙宁,等。综合性护理干预对青中年脑卒中患者心理状态的临床疗效。国际精神病学杂志,2016;43(5):885-888
4.彭李,李军,李敏,等。成人心理弹性量表在陆军中的应用。第三军医大学学报,2011;33(19):2081-2084
5.Hang WH,Shin YI,Lee SG,et al.Characteristics of inpatient care and rehabilitation for acute first-ever stroke patients.Yonsei Medical Journal,2015;56(1):262-270
6.简爱华,郑燕兰,江玉棉,等。老年脑卒中偏瘫患者伤残接受度与心理弹性、社会支持的关系。中国临床护理,2016;8(6):469-472
7.刘贤臣,刘连启,赵贵芳,等。心理创伤后应激障碍自评量表的编制和信度效度研究。精神医学杂志,1998;2(1):1-6
8.汪向东,姜经纬。创伤后应激障碍的流行病学特点及危险因素。中华流行病学杂志,2002;23(5):334-337
9.宋玉慧,盛玉霜,徐晚月,等。心理护理对创伤后应激障碍患者的影响。国际精神病学杂志,2015;42(5):114-117
10.王爱红,徐桂华,武秋娣,等。综合护理干预对社区康复期脑卒中患者生活质量及自理能力的影响。中国实用护理杂志,2010;26(8):11-14
11.Pérez L M,Inzitari M,RoquéM,et al.Change in cognitive performance is associated with functional recovery during post-acute stroke rehabilitation:a multi-centric study from intermediate care geriatric rehabilitation units of Catalonia.Neurological Sciences,2015;36(10):1-6