心身放松疗法用于中年脑卒中后心理障碍干预的探讨

Investigation of intervention of mind-body relaxing therapy(MBRT) on psychological disorders in middle-age patients with stroke

目的探讨中年脑卒中后病人焦虑抑郁的心理干预的效果。方法将76例病人随机分为观察组40例,对照组36例,2组病人均给予脑卒中后常规的治疗和护理,观察组同时实施心身放松疗法的心理干预。2组入组时采用不同护理干预后4周均用汉密顿抑郁量表(HAMD)、焦虑量表(HA-MA)进行测评。结果2组病人在治疗4周后的HAMD评分差异有显著性意义(HAMD:P<0.01,HAMA:P<0.05)。结论心身放松疗法对中年脑卒中心理障碍的恢复具有重要临床意义。

Objective To investigate the efficacy of psychological intervention on the treatment of anxiety-depression in middle-age patients with acute stroke. Methods 76 middle-age patients with acute stroke were randomly divided into two groups. 36 patients for the control group were treated with regular medicine and nursing care. 40 patients for the therapy group were given the psychological intervention of mind--body relaxing therapy besides the regular medicine and nursing care. All patients, who were entered into the different groups and received the different nursing cares, were evaluated with the Hamilton Depression Scale （HAMD） and Hamilton Anxiety Scale （HAMA） 4 weeks after having taken the different nursing interventions. Results The HAMD scores shown a significant difference between the two groups 4 weeks after the therapy （HAMD： P 〈 0.01, HAMA： P 〈 0. 05）. Conclusions Mind --body relaxing therapy is an effective therapy in the treatment of anxiety--depression in middle--age patients with acute stroke.