心理及行为干预对脑卒中后认知功能障碍患者的效果分析

Effect of psychological and behavioral intervention on patients with cognitive impairment after stroke

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(2)
作者
作者单位

安徽医科大学附属巢湖医院神经内科 ;

摘要
【摘要】目的:探究心理及行为干预对脑卒中后认知功能障碍患者的应用效果。方法:将急性脑卒中入院且伴认知功能障碍后遗症的90例患者按照随机数字表法将患者分为观察组和对照组。对照组:采用康复治疗办法;观察组:康复治疗基础上,辅以行为与心理康复干预。通过为期5个月的治疗,采取慢性精神病患评定量表(SSPI)、社会功能缺陷筛选量表(SDSS)、认知功能的评定量表(NIMSE)、SDS、COR量表针对患者社会功能障碍、认知功能障碍以及负性情绪发生情况,以量表的形式对脑卒中患者认知功能障碍情况进行量化评估。结果:两组患者治疗后SSPI、SDS、COR量表评分均有不同程度的减少,两种康复方案对精神症状与负性情绪调节均有促进效果,以观察组患者各评分分值减少程度最为显著(P<0.05)。NIMSE、SDSS评分方面,治疗前为38.64±6.11、4.97±3.71分,相较对照组31.71±6.17、7.17±5.12分,差异性显著(P<0.05)。结论:脑卒中后遗认知功能障碍患者行为与心理干预有助于健全社会功能、缓解负性情绪,对患者早期精神失常与认知功能障碍有显著的康复效果。
Abstract
[Abstract] Objective: To explore the psychological and behavioral intervention on the application effect of patients with cognitive impairment after stroke. Methods: 90 cases of acute stroke and cognitive dysfunction in hospital and sequelae were randomly were divided into observation group and control group. The control group: the observation group: rehabilitation measures; rehabilitation on the basis of the treatment, supplemented by behavioral and psychological rehabilitation intervention. The treatment lasted 5 months, taking chronic mental illness rating scale (SSPI), social disability screening schedule (SDSS), cognitive The function of the rating scale (NIMSE), SDS, COR scale for patients with social dysfunction, the incidence of cognitive impairment and negative emotions, in the form of scale quantitative assessment of cognitive dysfunction after stroke. Results: two groups of patients after treatment of SSPI, SDS, COR scale scores were reduced in different degrees two, promote rehabilitation programs have effect adjustment on psychiatric symptoms and negative emotion, the patients in the observation group the score decreased most significantly (P<0.05).NIMSE, SDSS score before treatment was 38.64 + 6.11,4. 97 points, compared with the control group of 31.71 6.17,7.17 score of 5.12, the difference was significant (P<0.05)Conclusion: post stroke cognitive behavioral dysfunction in patients with psychological intervention and help improve the social function, alleviate the negative emotions, has a significant effect on the early rehabilitation of mental disorders and cognitive impairment.
关键词
【关键字】心理干预;行为干预;脑卒中;认知功能障碍;后遗症
KeyWord
Key words: psychological intervention; behavior intervention; stroke; cognitive dysfunction; sequelae
基金项目
页码 253-256
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张业敏*,方克炳 ,葛伟,林丽娟. 心理及行为干预对脑卒中后认知功能障碍患者的效果分析 [J]. 国际精神病学杂志. 2017; 44; (2). 253 - 256.

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