心理支持疗法对脑出血后抑郁状态患者的疗效

Effects of Psychological Supportive Therapy on Depression after Cerebral Hemorrhage

目的研究心理支持疗法对脑出血后抑郁状态患者日常生活活动能力及抑郁状态的影响。方法 60例经17项汉密尔顿抑郁量表(HAMD-17)评定为轻中度抑郁的脑出血患者分为治疗组(n=30)及对照组(n=30),分别进行心理支持联合运动训练治疗及单纯运动训练治疗。治疗前后采用功能独立性评定(FIM)和HAMD-17进行评定。结果经2个月治疗,治疗组FIM评分显著高于对照组(P<0.001),HAMD-17评分显著低于对照组(P<0.001)。结论心理支持疗法可提高脑出血后抑郁状态患者的日常生活活动能力,并可缓解其抑郁症状。

Objective To observe the effects of psychological supportive therapy on the activities of daily living（ADL） and depression after cerebral hemorrhage.Methods 60 cases with mild or medium depression according to 17 items Hamilton Rating Scale for Depression（HAMD-17） after cerebral hemorrhage were divided into treatment group（n=30） and control group（n=30）.All of them accepted physical exercise,and those in the treatment group accepted psychological supportive therapy in addition.They were assessed with Functional Independence Measure（FIM） and HAMD-17 before and after the treatment.Results After 2 months of treatment,the score of FIM increased more in the treatment group than in the control group（P〈0.001）,and the score of HAMD-17 decreased（P〈0.001）.Conclusion Psychological supportive therapy may promote the recovery of ADL and depression for patients post cerebral hemorrhage.