心理人文关怀对脑卒中后抑郁及肢体功能康复的影响

Effects of Psychological Intervention and Human Care on Depression and Limb Function Rehabilitation Following Depression

目的:探讨心理、人文关怀对脑卒中后抑郁及肢体功能康复的效果。方法:256例首次发生脑卒中后抑郁患者随机分为心理、人文关怀治疗组(关怀组)和对照组各128例,均按常规神经内科脑卒中常规治疗方案处理,并给予抗抑郁及康复治疗。关怀组配合心理干预与人文关怀,内容包括与患者沟通,了解其内心感受,针对性给予支持、安慰;根据患者心理分期特点分别进行精神分析、认知、行为、家庭、疏导及暗示疗法等。治疗前后2组分别采用汉密尔顿抑郁量表(HADM)进行抑郁程度评分,卒中量表(NIHSS)评定肢体功能。结果;治疗8周后,2组患者HAMD和NIHSS评分与治疗前比较均明显降低(P<0.05)。2组间比较,关怀组各项评分下降更显著(P<0.05)。结论:心理和人文关怀可以显著改善脑卒中后抑郁症状,对患者肢体功能的恢复有显著促进作用。

Objective： To investigate the effects of psychological intervention and human care on depression and function rehabilitation following depression. Methods： 256 patients with poststroke depression were divided into treat ment group and control group randomly, n= 12 each. All the cases accepted routine neurological therapy, antidepressants and rehabilitation training. The patients in the treatment group were additionally treated with psychological intervention and human care. They were assessed with the Hamilton depression scale （HAMD） and National Institutes of Health Stroke Scale （NIHSS）. Results： After treatment for 8 weeks the scores of HAMD and NIHSS were significantly reduced as compared with those before treatment （P〈0.05）. The reduction of the scores of HAMD and NIHSS was more signifi cant in treatment group than in control group （P〈0.05）. Conclusion： Psychological intervention and human care may obviously improve poststroke depression and limb function.