CAJ | 학술논문

目的：探明脑卒中偏瘫患者的心理问题并研究对其进行心理干预。方法：对我院2011年8月～2013年1月精神心理科就诊的140例患者进行研究调查，发放事件影响量表---修订版问卷IES-R和患者病症自评表，即SCL-90，相关医护人员再对最终结论进行判定、总结。结果：偏瘫患者在创伤应激障碍3大症状上的评分均高于2．5，同时，内心焦虑、焦躁、恐惧、抑郁等因子评分比正常人偏高，人际关系不及正常人（P＜0．05）；患者的回避、闯入式再体验等症状与自检表中其他因子成正比。结论：脑卒中偏瘫患者有时会出现创伤后焦躁、郁闷甚至情绪应激等多种问题，其中最常见的就是抑郁、焦躁和患者躯体化。
목적：탐명뇌졸중편탄환자적심리문제병연구대기진행심리간예。방법：대아원2011년8월～2013년1월정신심이과취진적140례환자진행연구조사，발방사건영향량표---수정판문권IES-R화환자병증자평표，즉SCL-90，상관의호인원재대최종결론진행판정、총결。결과：편탄환자재창상응격장애3대증상상적평분균고우2．5，동시，내심초필、초조、공구、억욱등인자평분비정상인편고，인제관계불급정상인（P＜0．05）；환자적회피、틈입식재체험등증상여자검표중기타인자성정비。결론：뇌졸중편탄환자유시회출현창상후초조、욱민심지정서응격등다충문제，기중최상견적취시억욱、초조화환자구체화。
Objective:To explore the psychological problems in patients with hemiplegia after stroke and study of psychological inter -vention on the .Research methods 140 patients in our hospital from 2011 August to 2013 January psychological clinic , the impact of Event Scale --revised questionnaire IES -R and patient self -assessment form, namely SCL-90, medical staff and the final conclusion , summary judgment .Results:the scores in posttraumatic stress disorder symptoms in three of the patients with hemiplegia were higher than 2.5, at the same time, anxiety, anxiety, fear, depression, factor score higher than normal people , interpersonal relationship than normal people (P <0.05);patients, intrusion, avoidance and experience is directly proportional to the other factor symptoms and self -test ta-ble in.Conclusion:patients with stroke hemiplegia sometimes question anxious , depressed and even emotional stress , trauma, which is the most common in patients with depression , anxiety and somatization.