脑卒中偏瘫患者心理健康分析与心理干预

Mental health analysis and psychological intervention of stroke patients with hemiplegia

目的探讨脑卒中偏瘫患者的心理健康状况,观察心理干预后患者心理健康状态的改善情况。方法随机选择年龄在40～80岁的70例住院脑卒中偏瘫患者,采用汉密尔顿抑郁量表(HAMD)24项5级评分法,按照Davis JM的划分,对其入院时以及接受4周心理干预后分别进行评分。结果 70例脑卒中偏瘫患中,年龄在40～55岁的脑卒中偏瘫患者,心理问题的严重程度明显高于另一年龄组(P<0.01)。经过4周心理干预,中度以上的抑郁发病率由入院时的48.5%降为22.9%(与心理干预前相比,P<0.01)。结论脑卒中偏瘫患者心理问题的产生是多种因素综合所致,其中年龄是重要的影响因素;及时采取心理干预,可明显改善患者的心理健康状况,提高患者的生活质量。

Objective To investigate mental health conditions of stroke patients with hemi- plegia and observe the improvement of mental health conditions of patients after psychological inter- vention. Methods Seventy stroke - induced hemiplegia patients aged from 40 to 80 years old were selected randomly, and they were conducted with Hamilton Depression Scale （HAMD） of 24 items and 5 ranks. Then according to Davis JM partition, the scores of hospitalization condition and con- ditions of patients 4 weeks after psychological intervention were assessed, respectively. Results A- mong 70 stroke patients with hemiplegia, the severity degree of psychological problems in patients aged between 40 to 55 years old was significantly higher than that of the other age group （P 〈 0. 01）. After 4 weeks of psychological intervention, the incidence of moderate depression or above was decreased from 48.5 % （ prior to hospitalization） to 22.9 % （P 〈 0.01, compared with the incidence before psychological intervention）. Conclusion Psychological problems in stroke patients with hemiplegia can be caused by diverse factors. Among these factors, age is the most important one. Therefore timely psychological intervention can improve the mental health conditions and the life quality of patients.