摘要
目的 探讨心理干预在青年脑卒中偏瘫患者病情恢复过程中的作用和对日常生活活动能力的影响.方法 将90 例青年脑卒中偏瘫患者随机分为干预组和对照组,对照组采用常规治疗加本体促进技术康复治疗,干预组在接受上述治疗的同时强调进行心理康复治疗.4 次/ 周,30~50min/ 次.对每例患者在治疗前后分别进行HRSD、HAMA、Barthel 指数评定、Brunnstrum 运动功能评定.结果 日常生活自理能力、肢体运动功能的恢复,干预组明显优于对照组（P 〈0.01）,抑郁焦虑等不良情绪干预组明显减少（P 〈0.01）.结论 心理干预对青年脑卒中偏瘫患者肢体功能恢复和生活能力提高有积极的促进作用,可有效减少病残率,改善预后,提高患者的生存质量.
Objective To investigate the effect of psychological intervention for the young stroke patients with hemiplegia during the recovery and the influence to the level of activities of daily living. Methods 90 young patients with stroke and hemiplegia were divided into intervention group and control group randomly. Both groups were subjected to regular treatment and proprioceptive neuromuscular facilitation, the intervention group added physicological rehabilitated theray fourth each week, 30-50 minutes each time. All the cases were evaluated with according to the HRSD,HAMA, Barthelindex and Brtmnstrum score before and after the treatment. Results After the treatment, the score of ADL,Barthel index, and Brunnstrum in the intervention group were higher than the control group（P〈0.01）, the score of HRSD and HAMA were lower than the control group（P〈0.01）.Conclusion Psychological intervention promote the recovery of the young stoke patients and the level of activities of daily living, reduce the disability rate effectively and improve the urognosis.
出处
《中国医药指南》
2012年第21期12-13,共2页
Guide of China Medicine
关键词
心理干预
青年
脑卒中
偏瘫
病情恢复
Psychological intervention
Youth
Stroke
Hemiplegia
Recovery
