CAJ | 학술논문

目的：探讨家庭治疗对提高脑梗死患者的神经康复、社会功能改善及降低脑梗死后抑郁的临床效果。方法：将笔者所在医院收治的206例脑梗死患者按照随机数字表法分为治疗组和对照组，每组103例。对照组仅采用常规药物治疗及康复治疗，治疗组在对照组治疗基础上增加家庭治疗，为患者进行治疗前和开展治疗后2、4、8周的HAMD-24、功能独立性量表(FIM)和社会功能活动问卷(FAQ)，以分析两组治疗的效果。结果：开展4周和8周治疗后，治疗组患者的HAMD-24、FIM和FAQ评分明显优于对照组，两组比较差异均有统计学意义(P<0.05)。抑郁的发生率、神经功能恢复情况及社会功能改善情况均明显好于对照组，两组比较差异均有统计学意义(P<0.05)。结论：家庭治疗能显著降低脑梗死后抑郁的发生率，对于改善患者神经功能及社会功能效果良好，对提高患者的生活质量具有重要的意义。
목적：탐토가정치료대제고뇌경사환자적신경강복、사회공능개선급강저뇌경사후억욱적림상효과。방법：장필자소재의원수치적206례뇌경사환자안조수궤수자표법분위치료조화대조조，매조103례。대조조부채용상규약물치료급강복치료，치료조재대조조치료기출상증가가정치료，위환자진행치료전화개전치료후2、4、8주적HAMD-24、공능독립성량표(FIM)화사회공능활동문권(FAQ)，이분석량조치료적효과。결과：개전4주화8주치료후，치료조환자적HAMD-24、FIM화FAQ평분명현우우대조조，량조비교차이균유통계학의의(P<0.05)。억욱적발생솔、신경공능회복정황급사회공능개선정황균명현호우대조조，량조비교차이균유통계학의의(P<0.05)。결론：가정치료능현저강저뇌경사후억욱적발생솔，대우개선환자신경공능급사회공능효과량호，대제고환자적생활질량구유중요적의의。
Objective:To investigate the clinic effect of family therapy on neurorehabilitation,social function improving and post-stroke depresssion decrease after cerebral infarction.Method:206 samples were obtained from all the cerebal infarction patients of our hospital,and randomly divided into the therapy group and the control group. In the control group,the 103 cases were given common rehabilitation care and pharmacotherapy. In the therapy group,the 103 cases were treated with family therapy except common rehabilitation care and pharmacotherapy. Hamilton depression scale-24,function independent measure and functional activites questionnaire were performed on the two weeks,four weeks and eight weeks after therapy,as well as pretherapy.Result:The Hamilton depression scale-24,function independent measure and functional activities questionnaire assay were great improved in the therapy group than those in the control group on the four weeks and eight weeks after therapy(P<0.05). The experiment showed that the decrease of post-stroke depresssion,the neurorehabilitation and the social function improved more in the therapy group than those in the control group(P<0.05).Conclusion:Family therapy could greatly decrease the incidence of post-stroke depresssion,and has fine effectiveness to improve the function independent measure and the functional activities questionnaire. It’s have considerable meaning to improve the quality of life for the cerebral infarction patients.