Abstract：Objective To explore the factors influencing the quality of life of stroke patients, and analyze the effects of psychological intervention on neurological and cognitive function in stroke patients with anxiety and depression. Methods Two hundred cases with stroke treated in Chongqing Mental Health Center from May 2012 to October 2015 were selected as the research subjects. All cases were conducted general investigation, and evaluated by the quality of life (QOL) scale determined by the World Health Organization. Of all the cases, 80 cases with anxiety and depression were selected for survey in deep. They were randomly divided into experimental group and control group by random number table method, with 40 cases in each group. Both groups were given the treatment of nutritioning brain cells, improving cerebral circulation and routining control of intracranial pressure, blood pressure and blood glucose. The experimental group was given psychological intervention in addition. After 2-month treatment, Hamilton depression scale (HAMD) score, anxiety scale (HAMA) score, Canada nerve functional rating scale (CNS) score, simplify Fugl-Meyer (FMA) sports score were compared between two groups before and after treatment. The cognitive function of patients was assessed by a simple mental state scale (MMSE). Results The QOL scores had significant differences among patients with different marital status, cultural level, monthly income, and self-attitude (P ＜ 0.01). After treatment, HAMD, HAMA and CNS scores were significantly lower than those before treatment, while the FMA scores were significantly higher than those before treatment, and the differences were statistically significant (P ＜ 0.01). After treatment, HAMD, HAMA and CNS scores of the experimental group were significantly lower than those in the control group, and the FMA scores were significantly higher than those in the control group, the differences were statistically significant (P ＜ 0.01). The total improvement of cognitive function after treatment in the experimental group was significantly higher than that in the control group (85.0% vs. 62.5%), and the difference was statistically significant (P ＜ 0.05). Conclusion For stroke patients with anxiety and depression, a reasonable, comprehensive and psychological intervention can enhance patients′ confidence in the recovery, obviously improve adverse mental state and the quality of life.
文晏 杨辉▲. 脑卒中患者生命质量相关因素分析及心理干预的影响[J]. 中国医药导报, 2018, 15(23): 92-95.
WEN Yan YANG Hui▲. Analysis of factors related to quality of life and effects of psychological intervention on patients with strokeWEN Yan YANG Hui▲. 中国医药导报, 2018, 15(23): 92-95.
2018, Vol. 15 
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