心理干预对老年脑卒中患者心理健康状况及生活满意度的影响

Effects of Psychological Intervention on Mental Health State and Life Satisfaction in Senile Patients with Stroke.

目的探讨心理干预对老年脑卒中患者心理健康状况及生活满意度的影响。方法将62例老年脑卒中患者随机分为观察组及对照组各31例。两组均常规予以脑血管病治疗,观察组在此基础上实施心理干预措施,时间为6周.采用症状自评量表(SCL—90)及老年人生活质量调查表(SLQS)对两组受试者分别于干预前及干预6周末进行测评。结果干预前,SCL—90及SLQS评分两组间比较,差异均无显著性意义(P>0.05);但经过为期6周的干预后,观察组躯体化、人际关系敏感、抑郁及焦虑评分则均显著低于对照组(P<0.05),而SLQS总分及文娱体育、子女孝顺、家庭和睦、家庭生活、人际关系5个因子评分均显著高于对照组(P<0.05).结论心理干预有助于改善老年脑卒中患者的心理健康状况,提高其生活满意度.

Objective To explore the effect of psychological intervention on mental health state and life satisfaction in senile patients with stroke. Methods 62 senile patients with stroke were divided into 2 groups： observation group （n=31） were subjected to psychological intervention and the regular treatment of eerebrovaseular disease; control group （n = 31） only to the regular treatment of eerebrovaseular disease. All of eases were tested with Symptom Checklist 90 （SCL-90） and Senile Life Quality Scale （SLQS） before intervention and 6th week after the intervention. Results They were found that the scores of SCL- 90 and SLQS in two groups didn＇t show significant difference before intervention （P〉0. 05）. After intervention for 6 weeks, the scores of somatization, interpertional sensitive, depression and anxiety in the observed group were significant lower than that in the control group （P〈0.05）, while the total score of SLQS and scores of recreational physical culture, son and daughter filial piety, familiar harmony, familiar life and interpersonal relation in the observed group were significant higher than that in the control group （P〈0. 05）. Conclusion Psyehologieal intervention can improve mental health state in the senile patients with stroke effectively, help to improving the life satisfaction.