持续心理干预对脑卒中患者疼痛的影响

Effect of persistent psychological intervention on pains occurred in patients with stroke

目的探讨持续心理干预对脑卒中后疼痛患者的影响。方法将98例脑卒中患者随机分为心理干预组（n=53）和对照组（n=45）。对照组予常规护理，心理干预组在此基础上予心理干预，延续至脑卒中发生后3个月。在入院时、脑卒中后3个月采用数字评分法（NRS）进行评分。结果脑卒中发生后3个月内，卒中后疼痛的比例逐渐升高，年轻患者、女性和出血性卒中患者卒中后疼痛发生率较高，持续心理干预可以明显改善患者的NRS评分。结论脑卒中后疼痛是卒中常见的远期并发症，持续心理干预能够明显降低脑卒中后疼痛的发生率和NRS评分。

Objective To study the effect of persistent psychological intervention on the pains after stroke. Methods 98 patients of stroke were random into psychological intervention group （53 cases） and control group （45 cases）. The control group was given routine nursing, and the psychological intervention group was given psychological intervention in addition to the routine nursing, which was extended to three months after the occurrence of stroke. The patients were assessed by numerical rating scale （NRS） at the time points of entering the hospital, and three months after stroke. Results The incidence of pain increases within 3 months after stroke. The young, the female and the patients with hemorrhagic stroke predict higher incidence of pain after stroke. Persistent psychological intervention can remarkably improve the NRS score of pain. Conclusions Pain is one of the long-term complications after stroke and persistent psychological intervention can remarkably decrease the ratio of occurrence of pain after stroke and improve the NRS score.