心理干预对老年脑卒中患者合并抑郁焦虑的康复效果及生活质量影响

The effects of psychological intervention on recovery and quality of life of senile stroke patients with anxiety and depression

目的:探讨心理干预对改善老年脑卒中合并焦虑抑郁患者的负性心理情绪和生活质量的效果。方法:选取我院2016年1月至2017年12月于我院接受治疗的120例脑卒中合并焦虑抑郁患者的临床资料,采用随机数字表法将患者随机分为干预组和对照组,给予对照组常规药物治疗,干预组在常规药物治疗的基础上实施心理康复干预治疗,观察并比较两组患者心理干预前后焦虑(SAS)和抑郁(SDS)自评量表评分、汉密尔顿焦虑量表评分(HAMA)和汉密尔顿抑郁量表评分(HAMD)情况。结果:治疗12周后,两组患者SAS、SDS、HAMA、HAMD评分均显著低于治疗前;治疗后干预组患者SAS(t=-8.735,P<0.001)、SDS(t=-8.868,P<0.001)、HAMA(t=-7.615,P<0.001)、HAMD(t=-4.905,P<0.001)评分均显著低于对照组患者;治疗后干预组患者康复依从性与对照组比较具有显著统计学差异(χ~2=9.887,P=0.007)。结论:对脑卒中抑郁焦虑患者,实施心理康复干预能够有效改善患者抑郁焦虑症状,提高患者康复依从性。

Objective:Our study was aimed to explore the the effect of psychological intervention on the negativepsychological emotion and quality of life of patients with anxiety and depression.Methods:The clinical data of 120stroke patients with anxiety and depression admitted to our hospital from January 2016to December 2017were selected and divided into intervention group and control group by random number table method,and routine drug treatment was given to the control group and the psychological rehabilitation intervention was given to the interventiongroup on the basis of routine drug therapy,We observed and compared the anxiety(SAS)and depression(SDS),selfrating scale score,Hamilton anxiety rating scale(HAMA)and Hamilton depression rating scale(HAMD)in the twogroups before and after psychological intervention.Results:The scores of SAS,SDS,HAMA and HAMD in bothgroups were significantly lower than those before treatment after 12weeks of treatment;The SAS,SDS,HAMA,HAMD were significantly lower than those in the control group after treatment(t=-8.735,-8.868,-7.615,-4.905,P<0.001),There was a statistically significant difference in compliance between the intervention group and the control group after treatment(χ2=9.887,P<0.01).Conclusion:Psychological rehabilitation intervention can effectivelyimprove the symptoms of depression and anxiety in patients with cerebral apoplexy,and improve the patient's rehabilitation compliance.