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目的探讨心理干预对脑卒中后患者心理障碍及生活质量的影响。方法采用心理量表对108例脑卒中患者应用SDS、SAS进行心理评估,将存在心理障碍的卒中患者随机分为实验组(加阶梯式心理治疗)及对照组。比较两组患者SDS、SAS及SF—36的分值及临床疗效。结果73.41%的脑卒中患者存在一定程度的心理障碍,以抑郁、焦虑多见。实验组SDS、SAS评分显著低于对照组,其临床疗效及生活质量评分显著高于对照组。结论脑卒中后患者易出现抑郁、焦虑、恐惧等心理问题,心理干预能显著改善脑卒中后患者的心理障碍,提高患者的生活质量,促进躯体功能的恢复。
Objective To investigate the effect of psychological intervention on psychological disorders and quality of life after stroke. Methods A total of 108 stroke patients were assessed with SDS and SAS psychometric assessment using a psychometric questionnaire. Stroke patients with mental disorders were randomly divided into experimental group (plus stepwise psychotherapy) and control group. The scores of SDS, SAS and SF-36 in two groups were compared and their clinical efficacy was compared. Results 73.41% of stroke patients had a certain degree of psychological disorder, with depression and anxiety more common. The scores of SDS and SAS in the experimental group were significantly lower than those in the control group, and their clinical efficacy and quality of life scores were significantly higher than those in the control group. Conclusion Psychological problems such as depression, anxiety and fear are easy to occur in post-stroke patients. Psychological intervention can significantly improve the psychological disorder in patients after stroke, improve the quality of life of patients and promote the recovery of somatic function.