《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (5): 422-423.

• 论文 • 上一篇    下一篇

心理支持疗法对脑卒中后因疼痛导致焦虑的影响

徐胜林，蔡娴颖，沈敏，何龙文   

  1. 上海市残疾人康复职业培训中心，上海市 200127。
  • 收稿日期:2010-09-27 修回日期:2011-04-11 出版日期:2011-05-25 发布日期:2011-05-25
  • 通讯作者: 蔡娴颖

Effect of Psychological Support Therapy on Anxiety Resulted from Pain after Stroke

XU Sheng-lin, CAI Xian-ying, SHEN Min, et al.   

  1. Shanghai Rehabilitation & Training Centre for the Disabled, Shanghai 200127, China
  • Received:2010-09-27 Revised:2011-04-11 Published:2011-05-25 Online:2011-05-25

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摘要： 目的观察心理支持疗法对脑卒中后因疼痛而产生焦虑的影响。方法40 例脑卒中后伴疼痛的焦虑患者分为心理支持治疗组和对照组，每组20 例。分别于治疗前和治疗结束时应用汉密尔顿焦虑量表(HAMA)及疼痛视觉模拟评分(VAS)进行测评。结果治疗结束时，治疗组的HAMA和VAS 评分明显优于对照组(P<0.01)。结论心理支持疗法能明显改善脑卒中后焦虑患者的焦虑症状，缓解疼痛目的探讨心理干预对造血干细胞采集术患者的心理影响。方法对44 例围手术期血液病患者分组进行心理干预分析。结果干预后实验组焦虑和抑郁程度低于对照组(P<0.05),焦虑和抑郁得分下降(P<0.05)。对照组焦虑和抑郁得分也有所下降,但与干预前比较无显著性差异(P>0.05)。结论通过心理干预可有效降低围手术期血液病患者的不良情绪,有利于造血干细胞的顺利采集。

关键词: 脑卒中, 疼痛, 焦虑, 心理支持疗法

Abstract: Objective To observe the effect of psychological support therapy on anxiety resulted from pain after stroke. Methods 40 patients with anxiety after stroke were divided equally into psychological support treatment group and control group. They were assessed with Hamilton Anxiety Scale (HAMA) and Visual Analogue Scale (VAS) of pain before and after treatment. Results The scores of HAMA and VAS improved more in treatment group than in control group (P<.01). Conclusion The psychological support therapy can reduce the anxiety and pain after stroke.

Key words: stroke, pain, anxiety, psychological support therapy