整合性心理治疗对脑卒中后抑郁患者日常生活能力的影响

Effect of Integrated Psychotherapy on Activities of Daily Living in Post-stroke Depression

目的探索整合性心理治疗对脑卒中后抑郁患者日常生活能力的影响。方法 60例脑卒中后偏瘫抑郁患者分为干预组和对照组,每组30例。对照组给予常规脑卒中药物及康复治疗,干预组在上述治疗的基础上给予心理治疗。于治疗前,治疗后4周、12周采用改良巴氏日常生活能力量表(MBI)、抑郁自评量表(SDS)进行评定。结果治疗前两组SDS、MBI评分与对照组无显著性差异(P>0.05)。治疗后,治疗组SDS评分低于对照组(P<0.05),MBI评分高于对照组(P<0.05)。结论整合性心理治疗能有效降低脑卒中后偏瘫抑郁患者的抑郁情绪,并可提高患者日常生活能力。

Objective To investigate the effect of integrated psychotherapy on activities of daily living （ADL） in patients with post-stroke depression.Methods60 stroke patients were divided into 2 groups： the treatment group and the control group,each including 30 cases.Both groups were treated with routine medicine and rehabilitation,while the treatment group was also treated with psychological approaches in addition.Before and 4 and 12 weeks after treatment,all the patients were assessed with the Zung Self-rating Depression Scale （SDS） and the modified Barthel Index （MBI）.ResultsThere was no significant difference between these 2 groups in all the assessment parameters before treatment.The scores of SDS and MBI improved more in treatment group than in control group （P0.05） 4 and 12 weeks after treatment.ConclusionThe integrate psychotherapy is effective on ADL in patients with post-stroke depression.