偏瘫患者早期心理干预及临床应用的研究

Hemiplegic patients with early intervention and clinical application of psychological research

目的：探讨心理康复在临床应用的价值并使之成为常规，结合医院实际情况，针对急性脑梗死偏瘫患者制定了一整套早期系统化心理康复措施，并作临床应用的对比研究。方法：以常规护理作对照（n24），实验组（n24）采用早期心理康复和常规康复相结合。分别观察患者入院、出院和发病后1个月HAD（医院焦虑抑郁）、MAS（运动评定量表）和ADL（日常生活活动能力评定量表）。结果：与对照组相比实验组患者出院和发病后1个月MAS评分显著提高（P＜0.01），A（焦虑测定）与D（抑郁测定）有反应者明显减少（P＜0.01），无表现者显著增加（P＜0.01），日常生活活动能力显著提高（P＜0.01）。结论：有针对性地采用早期系统化心理康复，可使患者的心理状态及运动机能得到最大可能的恢复。

Objective To investigate the psychological rehabilitation in the clinical application value and make it routine, combined with the actual situation in the hospital for acute stroke patients with hemiplegia developed a systematic set of early psychological recovery measures, and comparative studies for clinical application. Approach to routine care as control （n 24）, the experimental group （n 24） the use of early psychological recovery and conventional rehabilitation combined. Were observed in patients with admission, discharge and 1 month after the onset of HAD （hospital anxiety and depression）, MAS （movement rating scale） and ADL （activities of daily living rating scale）. The results compared with the control group and experimental group were discharged 1 month after the onset of MAS scores were significantly improved （P 〈0.01）, A （anxiety measurement） and D （depression measured） responders was significantly reduced （P 〈0.01）, no performance was significantly increased （P 〈0.01）, activities of daily living improved significantly （P 〈0.01）. Conclusion targeted systematic use of early psychological recovery, can the patient＇s mental state and motor function to get the maximum possible recovery