焦虑合并脑梗死患者予早期心理干预对预后的影响

Effects of early mental intervention on prognosis of patients with depression combined with brain infarction

目的:探讨焦虑合并脑梗死患者予早期心理干预对预后的影响。方法:选取我院收治的脑梗死患者104例,随机分为观察组和对照组,每组52例。观察组采用脑梗死治疗+常规护理+心理干预;对照组采用脑梗死治疗+常规护理。于心理干预前及干预6周末,采用Zung抑郁自评量表(SDS)和Zung焦虑自评量表(SAS)分别评测患者的抑郁和焦虑状况;采用美国国立卫生研究院卒中量表(NIHSS)评定神经功能缺损;采用生活质量核心量表(QLQ-C30)评估生活质量。结果:干预6周末,观察组SAS、NIHSS评分和SDS评分均低于对照组,差异有统计学意义(P<0.05)。干预前,两组生理功能、精神健康、社会功能和情感智能评分比较,差异无统计学意义(P>0.05),干预6周末,观察组生理功能、精神健康、社会功能和情感智能评分高于对照组,差异有统计学意义(P<0.05)。结论:脑梗死患者合并焦虑在早期治疗时即予以焦虑的早期干预,可有效改善患者焦虑、抑郁状况和神经功能,提高患者生活质量,值得临床推荐。

Objective:To investigate the effects of early mental intervention on prognosis of patients with depression combined with brain infarction.Methods:A total of 104 cases of patients with brain infarction in our hospital were selected and randomly divided into observation group and control group,with 52 cases in each group.Patients received the treatment for brain infarction,conventional nurse and mental intervention in observation group,while patients received the treatment for brain infarction and conventional nurse in control group.Before and after intervention for 6 weeks,Zung self-depression scale(SDS)and selfanxiety scale(SAS)were used to evaluate the depression and anxiety of patients,respectively.National institutes of health stroke scale(NIHSS)was used to determine the neurologic impairment.The quality of life and scale(QLQ-C30)was used to investigate the quality of life.Results:After interference for6 weeks,the scores of SAS,SDS and NIHSS were significantly higher in observation group than those in control group(P <0.05).Before interference,there were no differences in the scores of physiological function,mental health,social fucnction and emotional intelligence between the two groups(P >0.05).After mental intervention for six weeks,the scores of physiological function,mental health,social fucnction and emotional intelligence were higher in observation group than those in control group(P<0.05).Conclusion:Early mental intervention can improve the anxiety,depression,neurologic impairment,and the quality of life in patients with depression combined with brain infarction.