内观疗法对脑梗死后伴发焦虑患者家庭功能的影响

［摘要］目的　探讨内观疗法对脑梗死后伴发焦虑患者家庭功能的影响．方法　将住院治疗192例脑梗死后伴发焦虑患者按照就诊顺序分别入组为对照组和研究组．对照组采用脑梗死后伴发焦虑常规治疗，研究组在脑梗死常规治疗基础上加用内观疗法．采用家庭功能评定量表 （FAD）、汉密尔顿抑郁量表（HAMD） 、汉密尔顿焦虑量表（HAMA）评估患者家庭功能和抑郁焦虑症状．结果　研究组治疗后HAMA、HAMD评分均明显低于治疗前（t＝2.24， 2.43，P＜0.05）；治疗后研究组情感反应、行为控制分明显低于对照组（t＝2.51、2.41，P＜0.05）；研究组治疗6周情感反应、行为控制分明显低于治疗前（t＝2.37、2.35，P＜0.05）．结论　内观疗法可以有效改善脑梗死后伴发焦虑患者家庭功能．

The Influence of Naikan Therapy on the Family Function in Patients with Anxiety Disorder of Cerebral Infarction

［Abstract］Objective　To study the influence of Naikan therapy on the family function in patients with anxiety disorder of cerebral infarction. Methods　A total of 192 patients with anxiety disorder of cerebral infarction were divided into control group and study group according to the set sequence. The study group was treated with Naikan therapy and the control group received routine therapy. All patients were assessed by family assessment device （FAD），Hamilton depression scale（HAMD），and Hamilton anxiety scale （HAMA）. Results　After 6-week treatment，the HAMD，HAMA，the affective reaction and behavior control scores in the study group were significantly lower than those before the treatment（t = 2.24，2.43，2.37，2.35，P < 0.05）. The affective reaction and behavior control in the study group were obviously lower than that of the control group （t = 2.51，2.41，P < 0.05）. Conclusion　Naikan therapy can improve family function in patients with anxiety disorder of cerebral infarction.