系统心理干预对老年脑卒中后抑郁程度及神经功能康复的影响

Effects of systemic mental intervention in relieving post-stroke depression degree and rehabilitating nerve function

目的探讨系统心理干预对老年脑卒中患者抑郁程度及神经功能康复的影响。方法首次脑卒中患者,同时存在抑郁症及神经功能缺损的106例分为A、B组;167例神经功能缺损患者分为C、D组。所有患者给予常规药物治疗,B组及D组作为干预组加以心理干预治疗。采用汉密尔顿抑郁量表(HAMD)及中国脑卒中患者临床神经功能缺损程度评分标准(NFDS)分别于治疗前、后对患者进行疗效评定。结果治疗后的HAMD、NFDS评分均明显低于治疗前,且B、D组均优于A、C组,差异有统计学意义。结论系统心理干预能明显缓解老年脑卒中患者的抑郁症状、提高神经功能康复效果。

Objective To explore the effects of systemic mental intervention in relieving the post-stroke depression （PSD） degree and rehabilitating the nerve function. Methods Of 225 patients suffering first stroke, 106 cases presented with depression and nerve function disorder, which were divided into 2 groups, group A （receving routine drug treatment） and group B （receiving combination treatment of routine drug treatment with systematic mental intervention） ; 167 cases presented with nerve function disorder, which were divided into 2 groups, group C （receving routine drug treatment） and group D （receiving combination treatment of routine drug treatment with systematic mental intervention）. The effects at the end of 2,4 weeks were assessed using HAMD scale and NFDS Scale. Results After treatment, the values of HAMD and NFDS were lower than those before treatment, and the values of the treatment group were lower than those of the control group. Conclusions Systematic mental intervention can effectively improve the PSD symptoms and nerve function in elderly patients.