心理治疗在急性缺血性脑卒中后抑郁患者中的临床观察
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摘要
目的探讨心理治疗在急性缺血性脑卒中后抑郁患者中的临床观察。方法选择102例急性缺血性脑卒中后抑郁的患者,按随机数字表法分为治疗组51例,对照组51例。对照组只采用常规治疗,治疗组在常规治疗的基础上给予心理治疗。4周后,采用汉密尔顿抑郁量表(HAMD)和日常生活活动能力指标(ADL)对两组患者进行评分。结果治疗组患者的抑郁症状较对照组患者的抑郁症状明显好转,差异有统计学意义(P <0. 05),且治疗组患者的抑郁程度改善优于对照组,差异有统计学意义(P <0. 05)。结论给予急性缺血性脑卒中后抑郁患者心理治疗,能够改善抑郁症状和生活质量,并且神经功能缺损症状明显好转。
Objective To investigate the clinical effect of psychotherapy in patients with depression after acute ischemic stroke. Methods A total of 102 patients with depression after ischemic stroke were randomly divided into treatment group( n = 51) and control group( n = 51). The control group was treated with routine therapy,and the treatment group with psychological therapy on the basis of routine therapy. Four weeks later,Hamilton Depression scale( HAMD) and activity of Daily living( ADL) were used to evaluate the two groups. Results The depressive symptoms in the treatment group were significantly better than those in the control group( P < 0. 05). The degree of depression in the treatment group was better than that in the control group( P < 0. 05). Conclusion Psychotherapy can improve the symptoms,quality of life of patients with post-stroke depression and the symptoms of neurological deficit.
Objective To investigate the clinical effect of psychotherapy in patients with depression after acute ischemic stroke. Methods A total of 102 patients with depression after ischemic stroke were randomly divided into treatment group( n = 51) and control group( n = 51). The control group was treated with routine therapy,and the treatment group with psychological therapy on the basis of routine therapy. Four weeks later,Hamilton Depression scale( HAMD) and activity of Daily living( ADL) were used to evaluate the two groups. Results The depressive symptoms in the treatment group were significantly better than those in the control group( P < 0. 05). The degree of depression in the treatment group was better than that in the control group( P < 0. 05). Conclusion Psychotherapy can improve the symptoms,quality of life of patients with post-stroke depression and the symptoms of neurological deficit.
引文
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[13]何文文,陶学芳,周春霞,等.健康管理对老年缺血性脑卒中患者心理状态及生活质量的影响[J].中国临床保健杂志,2018,21(3):342-344.
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[2]徐春梅,杨辉.脑卒中患者康复经验总结[J].亚太传统医药,2015,11(6):69-70.
[3]许俊慧.康复治疗对脑卒中患者预后意义[J].医药卫生:引文版,2016,9(10):234.
[4]王晋芳,邰迎东.脑卒中后抑郁发病相关因素分析及抗抑郁治疗[J].中西医结合心脑血管病杂志,2012,10(5):564-565.
[5]李莹,李光校.中国脑卒中患者抑郁患病率meta分析[J].中国公共卫生,2015,31(7):968-972.
[6]赵芸芸,黄燕.老年重症脑卒中患者焦虑抑郁分布及相关因素[J].中国老年学杂志,2015,35(23):6909-6910.
[7]商敏,王玉凤,杨凤梅,等.系统康复治疗对脑卒中恢复期患者认知功能、运动功能及生活质量的影响[J].中国老年学杂志,2014,34(23):6551-6553.
[8]游菲,唐雷,王鹂,马朝阳,熊修安.运动想象训练结合头皮针治疗对脑卒中后偏瘫患者下肢运动功能恢复的影响[J].中华物理医学与康复杂志,2014,36(9):684-688
[9]刘丽,尹姣,黄菲,等.脑卒中偏瘫患者运动想象能力的影响因素[J].中国老年学杂志,2012,32(4):792-793.
[10]刘淑文,徐淑芬.脑卒中患者亲属对脑卒中康复知识知晓情况的调查[J].中国临床保健杂志,2017,20(6):731-733.
[11]中华医学会神经病学分会.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志,2015,48(4):246-257.
[12]张东清,曾伟杰,熊丹.心理干预对脑卒中后抑郁患者康复依从性及康复效果的影响[J].西部医学,2014,26(6):757-759.
[13]何文文,陶学芳,周春霞,等.健康管理对老年缺血性脑卒中患者心理状态及生活质量的影响[J].中国临床保健杂志,2018,21(3):342-344.
[14]张作记.行为医学量表手册[M/CD].北京:中华医学电子音像出版社,2005.
[15]林洁.心理治疗对脑卒中后抑郁病人的疗效观察[J].中国社区医师:医学专业,2009,11(19):173.