早期心理干预对脑卒中后情感障碍的影响

Effect of Early Psychological Intervention on Affective Disorder of Post-apoplexy Patients

目的:探讨早期心理干预对脑卒中后情感障碍的影响。方法:对120例脑卒中患者随机分为对照组和观察组,各60例,两组均给予内科常规药物治疗,包括抗高血压、降低颅内压、改善脑部循环等,均进行针灸、中医中药及预防性康复护理(正确体位、定时翻身、患肢功能位、预防肌肉异常痉挛、萎缩、关节僵硬、褥疮等),均根据患者的运动功能情况,采取不同的康复治疗方法。观察组在上述治疗的基础上,根据患者社会、文化、行为方式的不同早期采取有针对性的心理干预措施。结果:两组病程第3~4周情感障碍发生情况、护理干预前后焦虑、抑郁心理评分、护理干预前后患者SAS、SDS评分比较差异有统计学意义(P<0.05);观察组患者护理满意度为96.7%,对照满意度为83.3%,差异有统计学意义(P<0.05)。结论:对脑卒中患者进行早期的心理护理,可帮助患者建立战胜疾病的信心和决心,同时可促进神经功能的恢复,降低致残率和病死率,提高患者的生活质量。

Objective： To investigate the effect of early psychological intervention on affective disorder of post-apoplexy patients.Method： 120 cases of post-apoplexy patients were randomly divided into control group and observation group of 60 cases, two groups were given routine treatment, including anti hypertension, reducing intracranial pressure, improving brain circulation~ both groups were treated with acupuncture and traditional Chinese medicine and preventive rehabilitation nursing（correct posture, timing turn, limb function position, preventing abnormal muscle spasm, atrophy, joint stiffness, etc）, according to the bedsore motion function of patients, different rehabilitation methods were used.On the basis of the above treatment, the observation group was given targeted psychological intervention measures according to the different social, cuhuralandbehavioralpatterns.Result： There were statistical significance differences ofaffective disorder incidence in the first 3--4 weeks, anxiety and depression score before and after nursing intervention, SAS, SDS score before and after nursing intervention （P〈0.05）.The nursing satisfaction of the observation group was 96.7%, the control group was 83.3%, the difference was statistically significant （P〈0.05）.Condusion： Giving early psychological intervention to affective disorder of post-apoplexy patients, can help patients to estabhsh the confidence to overcome the disease and determination, and can promote the recovery of neurological function , reduce morbidity and mortality, improve patient＇s quality of life.