| 摘要: |
| 目的：探讨团体心理干预联合抗抑郁药物和功能锻炼对出血性脑卒中后抑郁的影响。方法：选择2014年3月至2017年8月在我院接受治疗的出血性脑卒中后抑郁患者98例进行研究。采用随机数字表法将患者分为2组,每组各49例。两组患者入院后均给予常规治疗,对照组加以抗抑郁药物治疗,观察组在此基础上加以团体心理干预。对比两组患者干预前后负性情绪、认知功能、生活质量。结果：干预前两组SAS及SDS得无显著性差异,干预后观察组SAS及SDS得分均明显低于对照组(t=-7.733,-5.431,P<0.05)。干预前两组语言能力、抽象思维、定向力、注意力和计算力、视空间及执行功能、延迟回忆等得分均无显著性差异,干预后观察组语言能力、抽象思维、定向力、注意力和计算力、视空间及执行功、延迟回忆得分均明显高于对照组(t= 8.499,3.974,7.898,3.488,6.506,3.348,P<0.05)。干预前两组患者SF-36得分差异无统计学意义,干预后观察组SF-36得分明显高于对照组(t=6.994,P<0.05)。结论：团体心理干预联合抗抑郁药物和功能锻炼较抗抑郁药物和功能锻炼可明显缓解出血性脑卒中后抑郁患者焦虑、抑郁情绪、提高认知功能、改善生活质量。 |
| 关键词: 出血性脑卒中 团体心理干预 抗抑郁药物 功能锻炼 抑郁 |
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| Effect of group psychological intervention combined with antidepressant drugs and functional exercise on post-stroke depression |
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| Abstract: |
| Objective: To explore the effects of group psychological intervention combined with antidepressant drugs and functional exercise on post-stroke stroke depression.Methods: A total of 98 patients with post-hemorrhagic stroke after treatment from March 2014 to August 2017 were enrolled in the study.Patients were divided into 2 groups using a random number table method, with 49 cases in each group.Both groups received routine treatment after admission, and the control group received antidepressant medication. The negative emotions, cognitive function and quality of life were compared before and after intervention in the two groups.Results: There were no significant differences in SAS and SDS between the two groups before intervention. The scores of SAS and SDS in the observation group were significantly lower than those in the control group (t=-7.733,-5.431,P<0.05).There were no significant differences in language ability, thinking, orientation, attention and calculation, visual space and executive power, and delayed recall between the two groups before and after intervention. The scores of language ability, thinking, orientation, attention and calculation, visual space and executive power and delayed recall in the observation group were significantly higher than those in the control group(t=8.499,3.974,7.898,3.488,6.506,3.348,P<0.05).There was no significant difference in SF-36 score between the two groups before intervention. The score of SF-36 in the observation group was significantly higher than that in the control group (t=6.994, P<0.05). Conclusion: Group psychological intervention combined with antidepressant drugs and functional exercise compared with antidepressant drugs and functional exercise can significantly relieve anxiety, depression, cognitive function and quality of life in patients with post-hemorrhagic stroke. |
| Key words: Hemorrhagic Stroke Group Psychological Intervention Antidepressant Drugs Functional Exercise Depression |