摘要
目的：探讨综合性心理干预对高血压合并脑梗塞患者负性情绪及生活质量的影响。方法：166例高血压合并脑梗塞患者随机分为干预组和常规治疗组，各83例。常规治疗组采取常规护理；干预组在常规护理的基础上，进行心理干预。采用焦虑自评量表（SAS）、抑郁自评量表（SDS）以及症状自评量表（SCL-90）分别于人院时和人院1个月后对两组患者进行评分。结果：两组患者入院时SDS、SAS评分比较差异无显著性（P〉0．05），1个月后，与常规治疗组比较，干预组SDS[（59．26±12．31）分比（53．64±10．73）分]、SAS[（56．28±9．59）分比（48．54±9．17）分]评分显著降低（P〈0．01），血压及SCL-90量表中除精神病性外所有分值亦较常规治疗组显著降低（P〈0．05～〈0．01）。结论：综合性心理干预能够改善高血压合并脑梗塞患者的焦虑、抑郁情绪，还能明显提高其生活质量。
Objective： To explore effects of comprehensive psychological intervention on negative emotions and quality of life in patients with hypertension complicated cerebral infarction. Methods： A total of 166 patients with hypertension complicated cerebral infarction were randomly and equally divided into intervention group and routine treatment group. Routine treatment group received routine nursing care and intervention group were given psychological intervention additionally. Self-rating anxiety scale （SAS）, self--rating depression scale （SDS）, and symptom checklist-90 （SCL- 90） were used to evaluate patients at admission and one month after admission. Results： There were no significant difference in scores of SDS and SAS between the two groups at admission （P：〉0.05）. After one month, compared with routine treatment group, scores of SDS [ （59.26±12.31） scores vs. （53.64±10.73） scores] and SAS [ （56.28 ±9.59） scores vs. （48.54±9.17） scores] significantly decreased （P〈0.01） ; blood pressure and all scores except psychotic factor score in SCL-90 also significantly decreased （P〈0.05-〈0.01） in intervention group. Conclusion： Comprehensive psychological intervention can improve emotions of anxiety, depression and significantly improve quality of life in patients with hypertension complicated cerebral infarction.
出处
《心血管康复医学杂志》
CAS
2011年第5期397-400,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
基金
湖南省科学技术厅计划项目课题(B2010136)
关键词
心理疗法
高血压
焦虑
抑郁
Psychotherapy
Hypertension
Anxiety
Depression
