团体心理治疗对中风偏瘫患者疗效的影响

Observation of Curative Effect of Group Psychotherapy on Apoplectic Hemiplegia

目的探讨团体心理治疗对中风偏瘫患者临床疗效的影响。方法 60例中风偏瘫患者按随机卡法分为治疗组和对照组,每组30例。患者均予常规临床治疗及康复训练,在此基础上,治疗组给予团体心理治疗。4周后,评定汉密顿抑郁量表-17(HAMD-17)、改良Barthel指数(MBI),并比较2组患者抑郁症发生率。结果治疗组在抑郁程度、日常生活活动能力方面的改善明显优于对照组(P<0.05),抑郁症发生率较对照组降低(P<0.05)。结论团体心理治疗有利于改善中风患者抑郁状态、提高日常生活活动能力,减少抑郁症发生。

Objective To investigate the influence of group psychotherapy on clinical effect of apoplectic hemiplegia. Methods Sixty patients of apoplectic hemiplegia were randomized into treatment group and control group, 30 cases in each group. Both groups were given ordinary clinical treatment and rehabilitation training, and treatment group was given group psychotherapy additionally. HAMD-17 and MBI were evaluated after four weeks, and the incidence of depression of the two groups was compared. Results The treatment group was obviously superior to control group in improvement of depression level and activities of daily living （P〈0.05）. The incidence of depression in the treatment group was lower than that in control group （P〈0.05）. Conclusion The group psychotherapy is effective in treating depression state of stroke patients, improving activities of daily living, and reducing depression incidence.