|
|
|
| Analysis of factors related to quality of life and effects of psychological intervention on patients with strokeWEN Yan YANG Hui▲ |
| WEN Yan YANG Hui▲ |
| Department of Psychology, Chongqing Mental Health Center, Chongqing 401147, China |
|
|
|
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.
|
|
|
|
|
|
[1] 江思思，沈利平，阮恒芳，等.脑卒中患者家庭功能与健康行为的调查研究[J].中华护理杂志，2014，49（7）：849-853.
[2] 刘东玲，陈辉，吕健，等.综合干预模式对社区脑卒中主要照顾者心理健康的影响[J].中国老年学，2014，34（19）：5537-5539.
[3] 孙亚超.心理干预对脑卒中长期卧床患者照顾者负性情绪的影响[J].中国康复，2014，29（4）：298-300.
[4] 覃川，杨秀江，晏怡，等.急性脑卒中后睡眠障碍患者药物治疗联合心理干预效果评价[J].重庆医学，2015，44（23）：3231-3232，3235.
[5] 脑卒中患者临床神经功能缺损程度评分标准（1995）[J].中华神经科杂志，1996，29（6）：62-64.
[6] 陈爱红，曹利民，裴静波.早期康复护理干预对急性缺血性脑卒中患者治疗依从性、神经和生活质量的影响[J].中国医药导报，2014，11（22）：111-114.
[7] 郭秀君，杨复君，孙敏芝，等.中西医护理干预对卒中患者抑郁及健康生活方式的影响[J].护理学杂志，2013，28（7）：31-33.
[8] Paiva S，Magalh?觔es R，Alves J，et al. Efficacy of cognitive intervention in stroke：A long road ahead [J]. Restor Neurol Neurosci，2015，34（1）：139-152.
[9] Park JH，Lee N，Cho M，et al. Effects of mental practice on stroke patients′upper extremity function and daily activity performance [J]. J Phys Ther Sci，2015，27（4）：1075-1077.
[10] 周祎，方伟蓉，李运曼.血栓烷A-2——新型抗缺血性脑卒中药物治疗靶点[J].药学与临床研究，2014，22（3）：246-250.
[11] 龚志琰，殷跃辉.非药物治疗在心房颤动患者脑卒中预防中的应用[J].心血管病学进展，2015，36（3）：359-363.
[12] 张延红，刘岩，王竹君，等.心理干预对脑卒中患者生活质量的影响[J].河北医药，2015，37（7）：1098-1100.
[13] 杨魏巍，汪晓媛，刘忠梅，等.脑卒中患者心理状态分析及临床护理干预[J].护士进修杂志，2013，28（21）：1957-1959.
[14] 王锦芬，方志红.综合性心理干预对脑卒中伴抑郁和焦虑患者神经和认知功能的影响[J].中国医药导报，2013， 10（23）：144-146.
[15] 王赞丽，赵岳.脑卒中照顾者综合照顾能力与照顾压力的相关性分析[J].护理研究，2012，26（8）：690-691.
[16] 李治，张冬梅，陈若陵，等.社会经济地位对脑卒中发病率和死亡率的影响[J].医学与哲学（A），2013，34（5）：40-42.
[17] 何敏琴，吴彩虹，李岩，等.早期高压氧联合下肢康复机器人训练对脑卒中偏瘫患者步行能力的影响[J].中国康复医学杂志，2015，30（4）：395-397.
[18] 黄根林，黄燕，李又佳.康复训练联合氟哌噻吨美利曲辛片治疗脑卒中后抑郁的临床疗效[J].中国医药科学，2016，6（20）：167-169，176.
[19] 刘艳荣，常际平.综合护理干预对脑卒中患者抑郁情绪和日常行为能力的影响[J].中国实用神经疾病杂志，2014，17（14）：117-118.
[20] 黄勤兰，徐祝丽，罗洁夏，等.心理护理对脑卒中焦虑抑郁患者针对性干预的效果观察[J].临床医学工程，2012， 19（10）：1785-1786.
[21] 杨亚平，张振香.脑卒中患者焦虑、抑郁与创伤后成长的负相关性[J].中国卫生事业管理，2013，30（2）：146-147.
[22] 杨欢，王丽，王小平，等.脑卒中后急性期抑郁及焦虑发生率及相关因素调查[J].中华全科医学，2015，13（4）：624-626.
[23] 董居浩.血浆同型半胱氨酸水平与卒中后抑郁的相关性研究[J].中国医药科学，2018，8（3）：246-249. |
|
|
|
