老年脑梗塞患者的焦虑抑郁情绪及干预

Intervention of the Anxiety and Depression in Elderly Patients with Cerebral Infarction

为对老年脑梗塞患者的心理状态进行量化判定并进行干预治疗,分别对河南省信阳市中心医院神经内科的60名老年脑梗塞患者发出综合医院焦虑抑郁(HAD)情绪问卷,并与40名正常人作比较。对HAD积分阳性者随机分组,进行心理干预性对比治疗。老年脑梗塞患者的焦虑情绪发生率为66.7%,抑郁情绪发生率为56.7%,明显高于正常人群,采用心理干预治疗能明显改善焦虑抑郁情绪。焦虑抑郁情绪广泛存在于老年脑梗塞患者中,适当的心理干预可以明显改善患者的预后。

Objectives：Psychological status of elderly patients with cerebral infarction was deduced statistically, and the statistical results were applied in the process of therapy. Methods ：60 elderly patients with cerebral infarction from Central Hospital of Xinyang, Henan Province were surveyed with General Hospital Anxiety and Depression （HAD） mood questionnaire in Neurology, and 40 people were selected as negative control. HAD - positive patients were grouped randomly into 2 for a comparison of the therapy with or without psychological intervention. Results ：The anxi- ety rate of elderly patients with cerebral infarction was 66.7 percent, and the depression rate was 56.7 percent, which were significantly higher than that of the normal~. So the psychological intervention can significantly improve the anxi- ety and the depression. Conclusion：The anxiety and the depression exist widely in elderly patients with cerebral in- farction, psychological interference can significantly improve the prognosis of patients.