CAJ | 학술논문

目的：探讨心理干预对康复期脑卒中伴焦虑抑郁障碍患者情绪及幸福感的影响。方法将120例康复期脑卒中伴抑郁焦虑障碍患者随机分为两组，每组60例。两组均予以神经内科常规治疗及训练，研究组联合心理干预，观察12个月。于干预前后采用焦虑自评量表、抑郁自评量表评定焦虑抑郁情绪，症状自评量表评定心理健康状况，总体幸福感指数量表评定幸福感， Barthel指数量表评定日常生活活动能力；干预12个月评估两组患者的治疗依从性。结果干预前两组各量表评分比较差异无显著性（ P＞0．05）；干预12个月两组焦虑自评量表、抑郁自评量表及症状自评量表评分较干预前显著降低（P＜0．01），研究组显著低于对照组（P＜0．01）；干预后各时间点两组Barthel指数量表评分和研究组总体幸福感指数量表评分较干预前显著升高（P＜0．01），研究组显著高于对照组（P＜0．01）。干预后研究组依从率为96．7％，对照组为81．7％，研究组显著高于对照组（ P＜0．01）。结论心理干预能有效缓解或消除脑卒中患者的焦虑抑郁情绪，提高其心理健康水平、总体幸福感及日常生活活动能力，有利于疾病的预后。
목적：탐토심리간예대강복기뇌졸중반초필억욱장애환자정서급행복감적영향。방법장120례강복기뇌졸중반억욱초필장애환자수궤분위량조，매조60례。량조균여이신경내과상규치료급훈련，연구조연합심리간예，관찰12개월。우간예전후채용초필자평량표、억욱자평량표평정초필억욱정서，증상자평량표평정심리건강상황，총체행복감지수량표평정행복감， Barthel지수량표평정일상생활활동능력；간예12개월평고량조환자적치료의종성。결과간예전량조각량표평분비교차이무현저성（ P＞0．05）；간예12개월량조초필자평량표、억욱자평량표급증상자평량표평분교간예전현저강저（P＜0．01），연구조현저저우대조조（P＜0．01）；간예후각시간점량조Barthel지수량표평분화연구조총체행복감지수량표평분교간예전현저승고（P＜0．01），연구조현저고우대조조（P＜0．01）。간예후연구조의종솔위96．7％，대조조위81．7％，연구조현저고우대조조（ P＜0．01）。결론심리간예능유효완해혹소제뇌졸중환자적초필억욱정서，제고기심리건강수평、총체행복감급일상생활활동능력，유리우질병적예후。
Objective To explore the influences of psychological intervention on emotion and well‐being of convalescence stroke patient with anxiety‐depressive disorder . Methods A total of 120 convalescence stroke patient with anxiety‐depressive disorder were randomly divided into two groups of 60 ones each . Both groups received routine treatment and training for neuro‐medical diseases ,and research group was plus psychological intervention for 12 months .Anxious‐depressive emotions were assessed with the Self‐rating Anxiety Scale (SAS) and Self‐rating Depression Scale (SDS) before and after intervention ,mental health conditions with the Symptom Checklist‐90 (SCL‐90 ) ,well‐beings with the General Well‐being Schedule (GWB) and activities of daily living with the Barthel Index (BI);patients’ treatment compliances of two groups were assessed after 12 month intervention .Results There were no significant group differ‐ences in each scale score before intervention (P>0 .05);after 12 month intervention the SAS ,SDS and SCL‐90 scores of both groups lowered more significantly compared with pre‐intervention (P< 0 .01) ,so did those in research than in control group (P<0 .01);after intervention the BI scores of both groups at each time‐point and the GWB score in research heightened more significantly compared with pre‐interven‐tion (P<0 .01) ,so did those in research than in control group (P<0 .01);after intervention compliance rate was respectively96 .7% in research and 81 .7% in control group ,the former significantly higher that the latter (P< 0 .01) .Conclusion Psychological intervention could effectively relieve or eliminate anx‐ious‐deoressive emotion of stroke patients ,improve mental health level ,general well‐being and activities of daily living ,and is conduce to prognosis .