心理治疗对脑卒中患者康复的临床观察

Clinical Observation on Psychological Rehabilitation in Patients with Cerebral Apoplexy

目的探析心理疗法对于脑卒中患者康复的应用价值.方法荆州市第一人民医院近年来收治的65例脑卒中患者并将其随机抽选分为观察组和对照组,其中对照组患者仅接受脑卒中的常规治疗,观察组患者则在此基础上另辅以心理治疗,对比2组患者治疗前后的心理特征、日常生活能力与神经功能改善情况.结果治疗后,观察组患者的心理改善情况、FMA、MBI均要明显优于对照组(P<0.05).结论要想改善脑卒中患者的预后效果,应强调"身心同治",心理干预疗法已成为脑卒中康复治疗的关键,且对提高治疗依从性、促进康复及提高患者生存质量方面具有显著的作用.

Objective To discuss the value of applying psychological therapy for patients with cerebral apoplexy in recovery. Methods In recent years, 65 patients with cerebral apoplexy admitted in our hospital were randomly selected and divided into observation group and control group. Patients in the control group only received the conventional treatment and those in the observation group received psychological treatment on the basis of the traditional therapy. Psychological characteristics, activity of daily living and the improvement of nerve function were compared between two groups before and after treatment. Results After treatment, mental improvement, FMA,MBI in the observation group were significantly better than those of control group（P〈0.05）. Conclusion To improve the prognosis of patients with cerebral apoplexy effect, physical and mental development should be equally emphasized. Psychological intervention has become a key for stroke rehabilitation treatment, which significantly improves the treatment compliance, rehabilitation and the quality of life in patients.