《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (3): 269-270.

• 论文 • 上一篇    下一篇

整合性心理治疗对脑卒中后抑郁患者日常生活能力的影响

姚惠侠1，刘立2，冯海霞1，何君芳1，徐弢1，李亚斌1   

  1. 1.甘肃省康复中心医院神经康复科，甘肃兰州市 730000；2.甘肃中医学院，甘肃兰州市 730000。
  • 收稿日期:2010-11-12 修回日期:1900-01-01 出版日期:2011-03-25 发布日期:2011-03-25

Effect of Integrated Psychotherapy on Activities of Daily Living in Post-stroke Depression

YAO Hui-xia, LIU Li, FENG Hai-xia, et al.   

  1. Department of Hemiplegia Rehabilitation, Gansu Province Rehabilitation Centre, Lanzhou 730000, Gansu, China
  • Received:2010-11-12 Revised:1900-01-01 Published:2011-03-25 Online:2011-03-25

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被引次数

33

摘要： 目的探索整合性心理治疗对脑卒中后抑郁患者日常生活能力的影响。方法60例脑卒中后偏瘫抑郁患者分为干预组和对照组,每组30 例。对照组给予常规脑卒中药物及康复治疗,干预组在上述治疗的基础上给予心理治疗。于治疗前,治疗后4周、12周采用改良巴氏日常生活能力量表（MBI）、抑郁自评量表(SDS)进行评定。结果治疗前两组SDS、MBI评分与对照组无显著性差异(P＞0.05)。治疗后，治疗组SDS评分低于对照组(P<0.05)，MBI评分高于对照组(P<0.05)。结论整合性心理治疗能有效降低脑卒中后偏瘫抑郁患者的抑郁情绪，并可提高患者日常生活能力。

关键词: 脑卒中, 抑郁, 心理治疗, 日常生活活动能力

Abstract: ObjectiveTo investigate the effect of integrated psychotherapy on activities of daily living (ADL) in patients with post-stroke depression. Methods60 stroke patients were divided into 2 groups: the treatment group and the control group, each including 30 cases. Both groups were treated with routine medicine and rehabilitation, while the treatment group was also treated with psychological approaches in addition. Before and 4 and 12 weeks after treatment, all the patients were assessed with the Zung Self-rating Depression Scale (SDS) and the modified Barthel Index (MBI). ResultsThere was no significant difference between these 2 groups in all the assessment parameters before treatment. The scores of SDS and MBI improved more in treatment group than in control group (P<0.05) 4 and 12 weeks after treatment. ConclusionThe integrate psychotherapy is effective on ADL in patients with post-stroke depression.

Key words: stroke, depression, psychotherapy, activities of daily living