社会心理干预对老年脑梗死患者康复效果的研究

Recovery Effects of Social-psychological Intervention on Aged People with Brain Infarct

目的探讨老年脑梗死患者心理社会干预的康复效果。方法将228例患者随机分成研究组和对照组，各114例。研究组在药物治疗、常规功能训练基础上，实施心理治疗、社会支持干预，对照组仅采用药物加常规功能训练。以神经功能缺陷评分标准、简式Fugl-Meyer运动功能评分、汉密尔顿抑郁量表、日常生活能力量表、生活质量量表作为评定工具，于患者入院当天、1月、3月、半年、1年各评定1次。结果研究组较对照组患者神经功能缺陷程度、上下肢运动功能于治疗3月后好转或明显好转（P〈0．05～0．01）；汉密顿抑郁量表总分1月后明显降低（P〈0．01）；日常生活能力和总体生活质量3月后有所提高或显著性提高（P〈0．05～0．01）。结论心理社会干预能降低神经功能缺陷程度，增强上下肢运动功能，改善抑郁情绪，提高日常生活能力和生活质量，促进患者康复。

Objective To explore the recovery effects of social-psychological intervention on aged people with brain infarct. Methods A total of 228 patients were randomly divided into 2 groups： the study group and the contrast group, 114 patients for each group. The study group and contrast group both took drug therapy and conventional function exercitation, but the study group were treated with psychotherapy and social support intervention in addition. The evaluate instruments were Nerve Function Defective Standard of Perfection, Skeleton Symbol Fugl-meyer Athletics function Grade, Hamilton Depression Scale（HAMD）, Activity of Daily Living Scale（ADL） and Quality of Living Scale. The evaluated time is at the first day,the first month, the third month, the sixth month and the first year. Results After three months, compared with the contrast group, both at nerve function level and locomotion function of hands and legs of the study group were obviously improved or improved （P〈0. 05-0. 01）. The score of Hamilton Depression Scale was obviously decreased after one. month （P〈0.01）. Activity of Daily Living and Total Quality of Living were ;reproved significantly after three month （P〈0. 05-0. 01）. Conclusion Social-psychological intervention can decrease nerve function level, improve locomotion function of hands and legs, and ameliorate depression emotion, improve ability of daily living and quality of living, accelerate patients＇ recovery.