脑血管病患者心理状态调查及评价

Investigation and evaluation of the mental state of patients with cerebrovascular disease

目的观察分析脑卒中和蛛网膜下腔出血患者心理状态的不同。方法选取我院2009年1月～2010年7月收治的198例脑血管病变患者,脑卒中患者为研究组,蛛网膜下腔出血患者为对照组,观察患者出现异常心理行为活动的情况。分别于出院前对每个入选患者用抑郁自评量表(SDS)、焦虑自评量表(SAS)及症状自评量表(SCL-90)进行评分。结果与对照组比较,研究组各量表评分明显偏高,差异具有统计学意义(P<0.05)。结论脑卒中患者发病后的确存在一定程度心理及行为问题,尤其以抑郁症状居首位,焦虑、躯体化障碍等症状也较严重。

Objective To observe and analyze the different psychological states of patients with stroke and subarachnoid hemorrhage.Methods A total of 198 cases of cerebrovascular diseases in our hospital from January 2009 to July 2010 were selected and divided into control group and experiment group,the control group were patients with subarachnoid hemorrhage,and the experimental group were patients with stroke.The depression factor score in self-rating depression scale(SDS),self-rating anxiety scale(SAS)and self-rating symptom scale between two groups were compared.Results Compared with the control group,there were significant differences in the indexes of the experimental group,and the difference was statistically significant(P<0.05).Conclusion The patients with stroke have some psychological and behavioral problems,especially depression,anxiety and somatic disorder.