脑血管病后抑郁80例临床研究

Clinical Studies on80 Patients with Depression after Cerebrovascular Disease.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(1)
作者
作者单位

陕西省勉县医院神经内科 ;
陕西省汉中市中心医院神经内科 ;

摘要
评估心理干预方法治疗脑血管病后1中郁患者的临床效果。方法 将80例脑血管病后和F郁患者随机分为观察组和对照组, 每组各40例, 对照组进行常规治疗与护理, 观蔡组在此基础之上进行心理干预治疗, 疗程为8周。 同时对两组患者采用汉密尔顿1tF郁量表(HAMD) 及护士用住院患者观察量表(NOSIE)进行评定。结果 干预前,两组患者HAMD评分比较无显著差异(P>0.05);干预后,两组患者的 HAMD评分均降低,但观察组降低较对照组显著(P< 0.01)。干预8周后,观察组 NOSIE评分各项分值明显低于对照组,差异有统计学意义(P< 0. 05) 。 结论 在药物治疗基础上, 增加心理干预可增强脑血管病后抑郁患者康复期的治疗效果, 有利于精神和社会功能的恢复, 是临床治疗脑血管病后幸F郁一种有效措施。
Abstract
〇bjective To evaluate the therapy efficacy of psychological intervention for treating the patientswith depression after cerebrovascular disease. Methods Eighty patients with depression after cerebrovascular dis- ease were divided into the observation group(40 cases) and the control group(40 cases) , randomly. Both the con- trol group and observation group were given conventional treatment and nursing, but the observation group was given psychological intervention in addition. The period of treatment was8 weeks. Hamilton depression scale(HAMD) and nurses observation scale for inpatient evaluation(NOSIE) were used to evaluate the conditions of the patients in time, respectively. Results Before the treatment, HAMD scores of the two groups were similar(P>0.05) ; after the treatment, HAMD scores of these groups reduced significantly(P>0.05) , the HAMD scores of the observation group were significantly lower than that of the control group(P<0.05). The NOSIE showed that the observation group was significantly better than the control group after the treatment of 8 weeks on the rehabilitation of social func- tion(P<0. 05). Conclusion The effect of the psychological intervention added to the pharmacological treatment is beneficial for the mental and social functional recovery of patients with depression after cerebrovascular disease, it has clinical significance for this disease.
关键词
心理干预;脑血管病后抑郁;治疗效果
KeyWord
Psycho1ogica1 intervention; Depression after cerebrovascular disease; Therapy effect;
基金项目
页码 90-92
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张义琴*,王康军,冯维奎, 王晶, 高 洁. 脑血管病后抑郁80例临床研究 [J]. 国际精神病学杂志. 2016; 43; (1). 90 - 92.

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