卒中偏瘫后应激性心理障碍的临床分析

目的分析因卒中偏瘫住院病人的应激性心理障碍的表现特征,探讨主要相关因素及转归。方法将1999~2003年同期住院病人分成不同的年龄段,设有偏瘫的卒中组、无偏瘫的卒中组、非卒中的组,比较不同组间的应激性心理障碍的焦虑程度、行为。结果有偏瘫的卒中组应激性心理障碍最严重,组间焦虑症比较,P<0.01,差异显著,并与年龄、护理人员的构成、经济来源、是否首次住院密切相关。结论对偏瘫的恐惧感是应激性心理障碍的重要因素。对偏瘫致残的恐惧感随年龄增长而加重,随卒中的反复加重消失。

The clinical analysis of psychologic obstacle by reacting to hemiplagia because of stroke

Objectiv Analysis characteristics of psychologic obstacle by reacting to hemiplagia because of stroke. To investigate main related factors and metabases. Methods Inpatients since 1999 to 2003, are divided into three groupshemiplegia group, non hemiplegia group and non stroke group of different age-grad. Comparing the degrees, behaviors of psychologic obstacle by reacting in the groups.. Results Psychologic obstacle is the most severe in stroke with hemiplegia group. The rate of anxiety state compared among groups is P <0.01.The difference is significant.It has close relations to the form of nurses,the incom and whether it is the first time in hospital or not. Conclusions Fear of hemiplegia is the most important factor .The older, the more fearful it will be. With stroke severe and relapsing, ,it will vanish.