论文部分内容阅读
目的探讨脑卒中后患者存在的心理障碍,综合性心理治疗对脑卒中后心理障碍的干预效果及其对患者生活质量的影响。方法采用心理量表对225例卒中患者应用SCL-90、SDS、SAS进行心理评估。将存在心理障碍的脑卒中患者随机分为实验组及对照组,实验组增加了阶梯式心理治疗。评定与比较两组患者SCL-90、SDS、SAS、SF-36的分值及其临床疗效。结果70.67%脑卒中患者存在一定程度的心理障碍,以抑郁、焦虑多发。实验组SDS、SAS评分显著低于对照组,其临床疗效及生活质量评分显著高于对照组。结论脑卒中后患者易出现心理障碍;综合心理治疗能显著改善脑卒中患者的心理障碍,可以提高临床疗效、患者的躯体功能及生活质量。
Objective To investigate the psychological disorders existing in patients after stroke and the effect of comprehensive psychotherapy on psychological disorders after stroke and its impact on the quality of life of patients. Methods Psychological assessment was performed on 225 stroke patients using SCL-90, SDS and SAS. Stroke patients with mental disorders were randomly divided into experimental group and control group, and experimental group added stepwise psychotherapy. The scores of SCL-90, SDS, SAS and SF-36 in two groups were evaluated and compared and their clinical efficacy was evaluated. Results 70.67% of stroke patients had some degree of psychological disorder, with depression and anxiety. The scores of SDS and SAS in the experimental group were significantly lower than those in the control group, and their clinical efficacy and quality of life scores were significantly higher than those in the control group. Conclusion Psychological disturbance is easy to occur in patients after stroke. Comprehensive psychotherapy can significantly improve the psychological disorder in patients with stroke, which can improve clinical efficacy, physical function and quality of life of patients.