心理干预对脑卒中抑郁焦虑情绪的康复作用及对患者治疗依从性的影响研究

目的:探讨心理干预对脑卒中抑郁焦虑情绪的康复作用及对患者治疗依从性的影响。方法:我院老年科、神经内科、康复医学科治疗的脑卒中并出现抑郁焦虑情绪障碍的患者120例,随机分为观察组和对照组,各60例,两组患者均入院以后给予脑血管药物进行常规治疗和日常功能训练;观察组同时给予心理干预并根据病情应用抗抑郁抗焦虑药物等。于干预前、干预后3个月、6个月、1年分别对两组患者用SCL-90量表、总体幸福感指数量表、Barthel指数量表对患者进行评估,并评估患者治疗依从性。结果:干预后,观察组SCL-90各因子评分及总分均较干预前明显降低(P0.05),对照组SCL-90各因子评分及总分与干预前比较无统计学差异(P0.05)。干预前两组患者总体幸福感评分和Barthel评分比较无统计学差异(P0.05),干预后3个月、6个月和1年观察组总体幸福感评分和Barthel评分均明显高于对照组(P0.05)。观察组患者在治疗期间总体依从率明显高于对照组(P0.05)。结论:心理干预能够有效的改善脑卒中患者早期康复病人抑郁和焦虑的情绪,提高患者治疗的依从性。

Psychological Intervention on Depression Anxiety Emotion of Cerebral Stroke Patients and Impact on Compliance of Patients*

Objective： To investigate psychological intervention on depression anxiety emotion of cerebral stroke patients and impact on compliance of patients. Methods： 120 cases of stroke with depression anxiety emotion in elderly, neurological and rehabilitation medicine department were randomly divided into observation group and control group, each 60 cases, two patients were admitted to the cerebrovascular disease after routine treatment and routine function training; the observation group received psychological intervention and antidepressants and antianxiety drugs. Applied SCL-90 scale, general well-being index scale, Barthel index before intervention, 3 months, 6 months, 1 years after the intervention, and evaluated the compliance of patients. Results： After the intervention, the SCL-90 score of observation group were decreased compared with before intervention （P〈0.05）, the SCL-90 score of control group showed no significant difference（P〉0.05）. Patients in the two groups before the intervention of general well-being sense score and Barthel showed no significant difference （P 〉0.05）, 3 months, 6 months and 1 years after the intervention observation group general well-being score and Barthel score were significantly higher than those in the control group （P〈0.05）. The patients in observation group were treated during the overall compliance rate was significantly higher than that of the control group（P〈0.05）. Conclusion： Psychological intervention can effectively improve the depression and anxiety of stroke patients and compliance.