【摘要】 目的研究连续性心理干预路径与脑卒中患者的焦虑、抑郁程度及生活能力的关联性。方法选择我院2015年4月~2015年12月间收治脑卒中患者84例,采用随机数表法将其分为干预组(42例,采用连续心理干预路径)、常规组(42例,实施常规心理干预)。在干预前1d、出院当天、出院后3个月对两组患者进行焦虑自评量表(SAS)、抑郁自评量表(SDS)评估及改良Barthel指数评分并加以对比,以评估连续性心理干预的疗效。结果两组患者在干预前1d的SAS评分、SDS评分和改良Barthel指数评分值均无差异统计意义(P>0.05),而在出院当天以及出院后3个月,干预组的上述指标的改善情况均显著优于常规组(P<0.05)。在综合康复效果上,干预组的康复优良率高达83.3%,也显著高于常规组的59.5%(P<0.05)。结论连续性的心理干预可更有效降低患者的抑郁、焦虑程度,促进患者自理能力及生活能力的提高,值得在脑卒中的康复治疗中加以应用。更多还原

【Abstract】 Objective To investigate the curative effect of continuous psychological intervention on patients with stroke. Methods 84 cases of patients with stroke were recruited in our hospital from April 2015 to December 2015. According to the random number table method,all the patients were devided into two groups :the intervention group(42 patients,receiving continuous psychological intervention)and the routine group(42 patients,receiving routine psychological intervention). The scores of SAS,SDS and Modified Barthel Index between the two groups were evaluated and compared on the day before intervention,discharged day and 3 months after leaving hospital. Results There was no significant differences of SAS,SDS and Modified Barthel Index scores between the two groups on the day before intervention(P>0.05). On the discharged day and 3 months after leaving hospital,the indexes above of the intervention group were much better than those of the routine group(P<0.05). In the aspect of comprehensive rehabilitation effect,the excellent recovery rate of the intervention group was 83.3%,which was significantly higher than that of the conventional group 59.5%(P<0.05). Conclusion Continuous psychological intervention can be more effective to decrease the anxiety and depression level of patients with stroke as well as improve the self-care ability and living ability. It’s worthy of application in rehabilitation treatment of stroke.更多还原