国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2012年
6期
1115-1118
,共4页
脑卒中后抑郁并焦虑%帕罗西汀%心理干预
腦卒中後抑鬱併焦慮%帕囉西汀%心理榦預
뇌졸중후억욱병초필%파라서정%심리간예
Poststroke depression and anxiety%Paroxetine%Psychological intervention
目的 探讨帕罗西汀联合早期心理干预对卒中后抑郁/焦虑患者日常生活能力和神经功能康复的影响.方法 采用抑郁自评量表(SDS)、焦虑自评量表(SAS)对272例脑卒中患者进行抑郁/焦虑状态评定,其中患有卒中后抑郁合并焦虑的81名患者分别接受单用帕罗西汀治疗、帕罗西汀合并心理治疗以及不干预.采用斯堪的那维亚脑卒中量表(SSS)、Barthel指数(BI)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评测治疗前后的疗效.结果 急性脑卒中病人卒中后抑郁并焦虑患病率为29.78％,抑郁与焦虑共病率为65.85％；治疗组Ⅰ和治疗组ⅡHAMD、HAMA、SSS评分减少和BI评分增加与对照组比较均有显著性差异(P均＜0.01),治疗组ⅡHAMD、HAMA、SSS评分减少和BI评分增加较治疗组Ⅰ有显著差异(P均＜0.05).结论 卒中后抑郁/焦虑病人单用药物帕罗西汀或给予帕罗西汀合并心理干预治疗均能提高患者神经功能康复程度和生活能力恢复,而且帕罗西汀合并心理干预治疗疗效更满意.
目的 探討帕囉西汀聯閤早期心理榦預對卒中後抑鬱/焦慮患者日常生活能力和神經功能康複的影響.方法 採用抑鬱自評量錶(SDS)、焦慮自評量錶(SAS)對272例腦卒中患者進行抑鬱/焦慮狀態評定,其中患有卒中後抑鬱閤併焦慮的81名患者分彆接受單用帕囉西汀治療、帕囉西汀閤併心理治療以及不榦預.採用斯堪的那維亞腦卒中量錶(SSS)、Barthel指數(BI)、漢密爾頓抑鬱量錶(HAMD)、漢密爾頓焦慮量錶(HAMA)評測治療前後的療效.結果 急性腦卒中病人卒中後抑鬱併焦慮患病率為29.78％,抑鬱與焦慮共病率為65.85％；治療組Ⅰ和治療組ⅡHAMD、HAMA、SSS評分減少和BI評分增加與對照組比較均有顯著性差異(P均＜0.01),治療組ⅡHAMD、HAMA、SSS評分減少和BI評分增加較治療組Ⅰ有顯著差異(P均＜0.05).結論 卒中後抑鬱/焦慮病人單用藥物帕囉西汀或給予帕囉西汀閤併心理榦預治療均能提高患者神經功能康複程度和生活能力恢複,而且帕囉西汀閤併心理榦預治療療效更滿意.
목적 탐토파라서정연합조기심리간예대졸중후억욱/초필환자일상생활능력화신경공능강복적영향.방법 채용억욱자평량표(SDS)、초필자평량표(SAS)대272례뇌졸중환자진행억욱/초필상태평정,기중환유졸중후억욱합병초필적81명환자분별접수단용파라서정치료、파라서정합병심리치료이급불간예.채용사감적나유아뇌졸중량표(SSS)、Barthel지수(BI)、한밀이돈억욱량표(HAMD)、한밀이돈초필량표(HAMA)평측치료전후적료효.결과 급성뇌졸중병인졸중후억욱병초필환병솔위29.78％,억욱여초필공병솔위65.85％；치료조Ⅰ화치료조ⅡHAMD、HAMA、SSS평분감소화BI평분증가여대조조비교균유현저성차이(P균＜0.01),치료조ⅡHAMD、HAMA、SSS평분감소화BI평분증가교치료조Ⅰ유현저차이(P균＜0.05).결론 졸중후억욱/초필병인단용약물파라서정혹급여파라서정합병심리간예치료균능제고환자신경공능강복정도화생활능력회복,이차파라서정합병심리간예치료료효경만의.
Objective To study the effects of paroxetine combined with psychological intervention on the activities of daily living and neural function recovery of stroke patients with depression with anxiety.Methods A total of 272 stroke patients were assessed by SDS,SAS.Among these patients,81 patients who met the criteria of depression and anxiety after stroke were recruited.These 81 patients were treated with routine anti - stroke medication,routine anti - stroke medication with paroxetine and routine anti - stroke medication with paroxetine combined with psychological intervention respectively for 6 weeks.The rating scales such as SSS,HAMD,HAMA,TESS and so on were used to evaluate the symptoms improvement and side effects.Results The morbidity rate of depression and anxiety in acute stroke was 29.78％,the comorbidity was 65.85％.The decline of SSS score,HAMD score,HAMA score,and increase of BI score of the patients in trial group Ⅰ and trial group Ⅱ were significantly different compared with control group (P ＜ 0.01 ),and there were significant difference between trial group Ⅰ and trial group Ⅱ (P ＜0.05).Conclusions All of the three groups had effects on the stroke patients with depression and anxiety,routine anti -stroke medication with paroxetine is better,and routine anti -stroke medication with paroxetine combined psychological intervention is the best.
