脑梗死患者的心理干预方案。

IF 2.2 4区 医学 Q3 CLINICAL NEUROLOGY Dementia and Geriatric Cognitive Disorders Pub Date : 2023-01-01 DOI:10.1159/000529601
Tianjiao Xu, Fengying Tao, Ping Dong, Haixia Wang, Zhongying Shi
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引用次数: 1

摘要

脑梗死是最常见的脑血管疾病之一。脑梗死引起的后遗症包括肢体瘫痪、嘴角歪斜、语言障碍等,严重影响患者的身心健康和康复训练的积极性。因此,心理干预对脑梗死患者的康复与护理具有重要的积极意义。方法:单盲对照研究。选取2018年1月至2020年1月我院收治的符合纳入标准的脑梗死患者168例,随机分为对照组(n = 84)和干预组(n = 84)。干预组患者在对照组患者的基础上再接受3个月的心理治疗。在心理干预前后分别测量美国国立卫生研究院卒中量表(NIHSS)、日常生活活动量表(ADL)、简易精神状态检查量表(MMSE)和汉密尔顿抑郁评定量表(HAMD)。结果:我们设计的3个月的心理干预与传统的脑梗死康复护理相比,显著降低了脑梗死患者的NIHSS和HAMD评分,提示我们的心理干预课程可以改善患者的认知功能,抑制患者的抑郁情绪。与此一致的是,我们的心理干预也显著提高了脑梗死患者发病3个月后的ADL和MMSE评分,这意味着与常规护理相比,这种心理干预有助于患者恢复日常功能。结论:心理干预可作为脑梗死患者治疗和护理的辅助手段。
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A Psychological Intervention Program for Patients with Cerebral Infarction.

Introduction: Cerebral infarction is one of the most common cerebrovascular diseases. The sequelae caused by cerebral infarction, including limb paralysis, crooked mouth corners, language barriers, etc., seriously affect the patient's physical and mental health and enthusiasm for rehabilitation training. Therefore, psychological intervention has important positive significance for the rehabilitation and nursing of patients with cerebral infarction.

Methods: This is a single-blind controlled study. 168 patients with cerebral infarction who met the inclusion criteria and visited our hospital from January 2018 to January 2020 were randomly divided into a control group (n = 84) and an intervention group (n = 84). The patients in the intervention group received an additional 3-month psychological treatment on the basis of the patients in the control group. The National Institutes of Health Stroke Scale (NIHSS), Activities of Daily Living (ADL) scale, Mini-Mental State Examination (MMSE), and Hamilton Depression Rating Scale (HAMD) were measured before and after the psychological intervention.

Results: The 3-month psychological intervention we designed significantly reduced the NIHSS and HAMD scores of patients with cerebral infarction compared with traditional rehabilitation care for cerebral infarction, implying that our psychological intervention courses can improve patients' cognitive function and suppress patients' depression. Consistently, our psychological intervention also significantly improved ADL and MMSE scores 3 months after the onset of cerebral infarction patients, implying that this psychological intervention helped patients recover their daily functions relative to conventional care.

Conclusion: Psychological intervention can be used as an adjunct therapy in the treatment and nursing of patients with cerebral infarction.

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来源期刊
CiteScore
4.70
自引率
0.00%
发文量
46
审稿时长
2 months
期刊介绍: As a unique forum devoted exclusively to the study of cognitive dysfunction, ''Dementia and Geriatric Cognitive Disorders'' concentrates on Alzheimer’s and Parkinson’s disease, Huntington’s chorea and other neurodegenerative diseases. The journal draws from diverse related research disciplines such as psychogeriatrics, neuropsychology, clinical neurology, morphology, physiology, genetic molecular biology, pathology, biochemistry, immunology, pharmacology and pharmaceutics. Strong emphasis is placed on the publication of research findings from animal studies which are complemented by clinical and therapeutic experience to give an overall appreciation of the field.
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