脑卒中康复患者心理治疗的临床探讨

Clinical Study of Psychological Treatment of Stroke Rehabilitation Patients

目的探讨心理治疗在脑卒中临床治疗中的应用价值。方法选择2010年7月-2012年7月脑卒中康复期患者102例,按就诊顺序的单双号分为两组,对照组常规康复治疗,观察组在对照组基础上进行心理治疗。治疗3个疗程(3个月)后,比较两组患者发生抑郁症和焦虑症的例数、治疗前后偏瘫功能情况、Barthel指数改变情况等。结果观察组发生抑郁症4例、焦虑症3例,明显少于对照组26例、22例,数据比较有统计学意义(P<0.01)。观察组手部功能、上肢功能、下肢功能治疗前与对照组比较没有显著差异(P>0.05),治疗后与对照组比较有统计学意义(P<0.01),两组患者治疗后各部分功能等级均比治疗前有明显提高(P<0.05)。观察组治疗前与对照组比较没有显著差异(P>0.05),治疗后指数明显高于对照组,比较有统计学意义(P<0.01)。两组患者治疗后指数均比治疗前有明显提高(P<0.05)。结论开展心理治疗,引导患者改变创伤后应激障碍心境,面对残疾的现实,建立良好心态,适应新的环境,有效提高治疗率。

Objective To discuss the application value of psychological treatment in the clinical treatment of cerebral apoplexy. Methods Choosing 102 cases of stroke rehabilitation patients from July 2010 - July 2012. Dividing them into two groups according to the order of odd or even number. The control group using routine rehabilitation, and observation group using psychological therapy on the basis of the control group. Compare two groups of the number of cases of depression and anxiety, hemiplegia function before and after the treatment, and Barthel index change after 3 period of treatment. Results There are 4 cases of depression and 3 cases of anxiety in observation group, significantly less than the control group 26 cases, 22 cases. The difference was statistically significant （P〈0.01）. There were no significant differences of the function of hand, upper limb and lower limb of observation group compared with the control group before treatment（P〉0. 05 ）. There was statistically significant after treatment （P〈0.01）. All parts of function level are significantly improved after treatment（P〈0. 05）. There was no significant difference between observation group compared with control group before treatment （P〉0.05）. The index is significantly higher than the control group after treatment. The difference was statistically significant （P〈0.01）. Indexes of two groups are significantly improved after treatment （P〈0.05）. Conclusion Some methods such as psychological treatment, leading patients to change post-traumatic stress disorder mood, facing the reality of disability should be taken to adapt to the new environment and improve the treatment rate.