CAJ | 학술논문

目的：探讨团体心理治疗对中风偏瘫患者临床疗效的影响。方法60例中风偏瘫患者按随机卡法分为治疗组和对照组，每组30例。患者均予常规临床治疗及康复训练，在此基础上，治疗组给予团体心理治疗。4周后，评定汉密顿抑郁量表-17(HAMD-17)、改良Barthel指数(MBI)，并比较2组患者抑郁症发生率。结果治疗组在抑郁程度、日常生活活动能力方面的改善明显优于对照组(P＜0.05)，抑郁症发生率较对照组降低(P＜0.05)。结论团体心理治疗有利于改善中风患者抑郁状态、提高日常生活活动能力，减少抑郁症发生。
목적：탐토단체심리치료대중풍편탄환자림상료효적영향。방법60례중풍편탄환자안수궤잡법분위치료조화대조조，매조30례。환자균여상규림상치료급강복훈련，재차기출상，치료조급여단체심리치료。4주후，평정한밀돈억욱량표-17(HAMD-17)、개량Barthel지수(MBI)，병비교2조환자억욱증발생솔。결과치료조재억욱정도、일상생활활동능력방면적개선명현우우대조조(P＜0.05)，억욱증발생솔교대조조강저(P＜0.05)。결론단체심리치료유리우개선중풍환자억욱상태、제고일상생활활동능력，감소억욱증발생。
Objective To investigate the influence of group psychotherapy on clinical effect of apoplectic hemiplegia. Methods Sixty patients of apoplectic hemiplegia were randomized into treatment group and control group, 30 cases in each group. Both groups were given ordinary clinical treatment and rehabilitation training, and treatment group was given group psychotherapy additionally. HAMD-17 and MBI were evaluated after four weeks, and the incidence of depression of the two groups was compared. Results The treatment group was obviously superior to control group in improvement of depression level and activities of daily living (P<0.05). The incidence of depression in the treatment group was lower than that in control group (P<0.05). Conclusion The group psychotherapy is effective in treating depression state of stroke patients, improving activities of daily living, and reducing depression incidence.