CAJ | 학술논문

目的探讨对脑卒中患者进行早期筛查及心理治疗的效果.方法对80例首次发生脑卒中患者采用17项汉密尔顿抑郁评定量表(HAMD-17)进行评分,存在卒中后抑郁的患者随机分成对照组(n=21)和干预组(n=21),两组均进行康复训练,干预组在此基础上进行心理咨询,2个月后再次进行HAMD-17评分.同时采用改良Barthel指数(MBI)评价日常生活活动能力的变化.结果卒中后抑郁的发生率为52.5%,治疗后干预组HAMD-17评分明显低于对照组(P<0.01).两组MBI治疗前后均无显著性差异(P>0.05).结论早期筛查和心理治疗有利于卒中后抑郁的康复.
목적탐토대뇌졸중환자진행조기사사급심리치료적효과.방법대80례수차발생뇌졸중환자채용17항한밀이돈억욱평정량표(HAMD-17)진행평분,존재졸중후억욱적환자수궤분성대조조(n=21)화간예조(n=21),량조균진행강복훈련,간예조재차기출상진행심리자순,2개월후재차진행HAMD-17평분.동시채용개량Barthel지수(MBI)평개일상생활활동능력적변화.결과졸중후억욱적발생솔위52.5%,치료후간예조HAMD-17평분명현저우대조조(P<0.01).량조MBI치료전후균무현저성차이(P>0.05).결론조기사사화심리치료유리우졸중후억욱적강복.
Objective To explore the effect of early screening and psychotherapy on post stroke depression. Methods 80 patients with stroke at first onset were assessed with Hamilton Rating Scale for Depression (HAMD-17). Patients with depression were divided into con-trol group (n=21) and intervention group (n=21). Both groups received rehabilitation therapy and the intervention group received psychother-apy in addition. They were assessed with HAMD again 2 months after treatment. All of them were evaluated with modified Barthel index (MBI). Results 52.5%patients had post stroke depression. The score of HAMD-17 was lower in the intervention group than in the control group (P<0.01). There was no significant difference in MBI between 2 groups after treatment (P>0.05). Conclusion Early screening and psy-chotherapy can facilitate the recovery of patients with depression after stroke.