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目的:探讨脑卒中偏瘫患者各类心理问题和创伤后应激症状及各种情绪问题。方法:发放事件影响量表-修订版问卷(IES-R)及症状自评量表(SCL-90)进行调查。结果:①偏瘫患者创伤后应激障碍3大症状平均分都在2.5分以上,焦虑、抑郁、躯体化、恐惧、强迫、精神病性因子评分高于常模,人际关系低于正常人(P<0.05)。②闯入性再体验、回避反应、高警觉反应和症状自评量表中各因子均呈正相关。结论:脑卒中偏瘫患者会出现一定程度的创伤后应激症状和多种情绪问题,其中以焦虑、抑郁和躯体化最常见。
Objective: To investigate various psychological problems and post-traumatic stress symptoms in stroke patients with hemiplegia and various emotional problems. Methods: A questionnaire of impact-scale revision (IES-R) and self-rating symptom scale (SCL-90) were issued for investigation. Results: ① The average scores of the three major symptoms of post-traumatic stress disorder in patients with hemiplegia were all above 2.5, and the scores of anxiety, depression, somatization, fear, coercion and psychotic factors were higher than those of the norm and the interpersonal relationships were lower than that of normal people (P < 0.05). ② Intrusive re-experience, avoidance response, high alertness and self-rating Symptoms of the various factors were positively correlated. Conclusion: Patients with hemiplegia after stroke may experience post-traumatic stress symptoms and a variety of emotional problems, of which anxiety, depression and somatization are the most common.