心理干预对脑卒中患者康复效果的临床分析

Effects of psychological intervention on rehabilitation of stroke patients

目的分析脑卒中偏瘫患者的心理特点及进行一定的心理干预对其功能康复的影响。方法将180例符合脑卒中诊断标准的偏瘫患者按随机原则分为对照组与治疗组，每组各90例。对照组给予神经科常规药物治疗与康复训练，治疗组在此基础上给予相应的心理干预。采用症状自评量表（SCL-90）与WHO生存质量表（WHOQOL-100）评价对两组患者的心理健康水平影响。结果治疗前两组SCL-90评分比较，差异无统计学意义（P〉0．05）；心理干预3个月后，治疗组SCL-90评分为（120．3±21．2），明显低于干预前（133．1±34．1）及治疗后对照组（132．4±33．5），两者比较，差异有统计学意义（P〈0．05），而对照组治疗前、后比较差异无统计学意义（P〉0．05）。治疗组SCL-90与WHOQOL-100量表治疗前、后比较差异均有统计学意义（P〈0．05）；治疗组治疗后两项指标均优于对照组（P〈0．05）。结论脑卒中患者在常规治疗的基础上给予及时适当的心理干预可提高功能康复的效果，提高生存质量。

Objective To analyze the psychological characteristics of stroke patients and the effects of psychological interventions on their functional rehabilitation. Methods A total of 180 stroke patients with henfiplegia were randomly assigned to the control group （ n = 90） or the treatment group （ n = 90 ）. Those of the control group received conventional drug therapy and rehabilitation programme, and those of the treatment group were additionally given psychological intervention. Symptom checklist （SCL-90） and the WHO QOL-100 checklist were used to assess the effect of psychological intervention on mental health of the participants. Results Before the treatment, the difference of SCL-90 results was not statistically significant between the two groups （ P 〉 0. 05 ） . At 3 months, SCL-90 results of the treatment group was lower in comparison with the baseline level （ 120. 3 --- 21.2 vs 133.1 ＋ 34. 1 ） and the control group （ P 〈 0. 05 ）. However, there was no statistical significance in the control group before and after the treatment （P 〉 0.05 ）. SCL-90 and the WHO QOL-100 checklist results in the treatment group were significantly different before and after the treatment （ P 〈 0. 05 ）. The SCL-90 showed no significant difference in the control group before and after the treatment （P 〉 0. 05 ）. Conclusion Timely and appropriate psychological intervention could improve the functioning, reduce disability and improve the quality of life of stroke patients.