心理干预对康复期脑梗死患者认知功能的影响

蒋海华; 时恒屏; 徐艳

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心理干预对康复期脑梗死患者认知功能的影响

蒋海华 , 时恒屏 , 徐艳

文章导航 > 蚌埠医学院学报 > 2010, 35 > 1: (87-89)

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心理干预对康复期脑梗死患者认知功能的影响

徐州医学院附属连云港医院神经内科, 江苏连云港 222002

作者简介: 蒋海华(1963-),女,副主任护师.

中图分类号: R743.33

Effect of psychological intervention on recovery of cognitive function in patients with cerebral infarction

Department of Neurology, The Affiliated Lianyungang Hospital of Xuzhou Medical College, Lianyungang Jiangsu 222002, China
CLC number: R743.33

摘要: 目的:观察心理干预对康复期脑梗死患者认知功能的影响。方法:住院康复期脑梗死患者108例按住院号尾数单、双号随机分为常规对照组和心理干预组。常规对照组执行神经内科脑梗死临床路径护理,心理干预组进行3次三维心理访谈并根据患者不同心理障碍类型作针对性心理干预。两组分别于治疗前、治疗1周和2周后行3次改良巴氏指数(BI)检测和瑞文智能(RW)测验。结果:常规对照组和心理干预组治疗1周和2周后,BI总分均高于治疗前(P<0.05和P<0.01)。常规对照组治疗1周后除精神病性障碍和心境障碍(P>0.05)外,其余各型患者的BI积分均较治疗前升高(P<0.05~P<0.01);治疗2周后各型患者的BI积分均较治疗前升高(P<0.05~P<0.01)。心理干预组治疗1周和2周后各型患者的BI积分均较治疗前显著升高(P<0.01)。治疗1周后,两组患者的RW与治疗前比较,差异均无统计学意义(P>0.05);治疗2周后,两组患者的RW均较治疗前显著增加(P<0.01),但两组间差异均无统计学意义(P>0.05)。结论:心理干预能有效改善康复患者的日常生活能力,能促进或加速康复期脑梗死患者的智力康复。
- 脑梗死 /
- 心理障碍 /
- 心理疗法 /
- 认知功能
Abstract: Objective:To observe the effect of psychological intervention on recovery of cognitive function in patients with cerebral infarction.Methods:One hundred and eight patients with cerebral infarction were randomly divided into normal control group and psychological intervention group.Normal control group was given treatment and care according to "cerebral infarction clinical path".Psychological intervention group was given three times three-dimensional psychological interviews and psychological intervention according to different types of psychological disorders of cerebral infarction.Three times modified Barthel Index (BI) tests and Raven intelligence (RW) tests were taken before treatment,1 week and 2 weeks after treatment.Results:The BI total score in normal control group and psychological intervention group was higher 1 week and 2 weeks after treatment than before treatment (P<0.05 and P<0.01).The BI points of patients in normal control group were higher 1 week after treatment than before treatment (P<0.05-P<0.01),excepting for those with psychiatric and mood disorders (P>0.05).The BI total score in psychological intervention group increased significantly after 1 to 2 weeks treatment (P<0.01).The rehabilitation of intelligence had no significant difference between normal control group and psychological intervention group 1 week after treatment (P>0.05).After 2 weeks of treatment,the patients' intelligence in both groups improved significantly (P<0.01),but there was no statistically significant difference between the two groups (P>0.05).Conclusions:Psychological intervention can effectively improve the patients' living ability and facilitate or speed up the recovery of intelligence in patients with cerebral infarction.
- cerebral infarction /
- psychologic obstacle /
- psychotherapy /
- cognitive function

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心理干预对康复期脑梗死患者认知功能的影响

作者简介: 蒋海华(1963-),女,副主任护师.

徐州医学院附属连云港医院神经内科, 江苏连云港 222002

收稿日期: 2009-06-17

关键词:

摘要: 目的:观察心理干预对康复期脑梗死患者认知功能的影响。方法:住院康复期脑梗死患者108例按住院号尾数单、双号随机分为常规对照组和心理干预组。常规对照组执行神经内科脑梗死临床路径护理,心理干预组进行3次三维心理访谈并根据患者不同心理障碍类型作针对性心理干预。两组分别于治疗前、治疗1周和2周后行3次改良巴氏指数(BI)检测和瑞文智能(RW)测验。结果:常规对照组和心理干预组治疗1周和2周后,BI总分均高于治疗前(P<0.05和P<0.01)。常规对照组治疗1周后除精神病性障碍和心境障碍(P>0.05)外,其余各型患者的BI积分均较治疗前升高(P<0.05~P<0.01);治疗2周后各型患者的BI积分均较治疗前升高(P<0.05~P<0.01)。心理干预组治疗1周和2周后各型患者的BI积分均较治疗前显著升高(P<0.01)。治疗1周后,两组患者的RW与治疗前比较,差异均无统计学意义(P>0.05);治疗2周后,两组患者的RW均较治疗前显著增加(P<0.01),但两组间差异均无统计学意义(P>0.05)。结论:心理干预能有效改善康复患者的日常生活能力,能促进或加速康复期脑梗死患者的智力康复。

English Abstract

Effect of psychological intervention on recovery of cognitive function in patients with cerebral infarction

Department of Neurology, The Affiliated Lianyungang Hospital of Xuzhou Medical College, Lianyungang Jiangsu 222002, China

Received Date: 2009-06-17

Abstract: Objective:To observe the effect of psychological intervention on recovery of cognitive function in patients with cerebral infarction.Methods:One hundred and eight patients with cerebral infarction were randomly divided into normal control group and psychological intervention group.Normal control group was given treatment and care according to "cerebral infarction clinical path".Psychological intervention group was given three times three-dimensional psychological interviews and psychological intervention according to different types of psychological disorders of cerebral infarction.Three times modified Barthel Index (BI) tests and Raven intelligence (RW) tests were taken before treatment,1 week and 2 weeks after treatment.Results:The BI total score in normal control group and psychological intervention group was higher 1 week and 2 weeks after treatment than before treatment (P<0.05 and P<0.01).The BI points of patients in normal control group were higher 1 week after treatment than before treatment (P<0.05-P<0.01),excepting for those with psychiatric and mood disorders (P>0.05).The BI total score in psychological intervention group increased significantly after 1 to 2 weeks treatment (P<0.01).The rehabilitation of intelligence had no significant difference between normal control group and psychological intervention group 1 week after treatment (P>0.05).After 2 weeks of treatment,the patients' intelligence in both groups improved significantly (P<0.01),but there was no statistically significant difference between the two groups (P>0.05).Conclusions:Psychological intervention can effectively improve the patients' living ability and facilitate or speed up the recovery of intelligence in patients with cerebral infarction.