脑血管病人的心理健康状况调查

脑血管病人常常会出现明显的心理改变 ,除认知功能受损外 ,抑郁、焦虑、恐怖、强迫、躯体化、精神病性等症状亦十分突出 ,这些改变严重影响病人的康复和预后 ,影响病人的生活质量 ,给家庭和社会带来沉重的负担。本文旨在探讨脑血管病人的这些心理改变特点 ,以便提供必要的临床干预和治疗。1　资料和方法1.1　病例组病例组选自哈尔滨医科大学附属二院神经科2 0 0 1年 10月至 2 0 0 2年 2月住院治疗的脑血管病病人 ,共计 6 0例。符合中华医学会第四届全国脑血管病学术会议各类脑血管病诊断要点 ,全部病例均否认曾经患过脑卒中 ,经CT或MRI确…

The Mental Changes of Patients With Cerebrovascular Diseases

Objective: To examine psychological changes of patients with cerebrovascular diseases. Methods: 60 patients with cerebrovascular diseases were assessed with SCL-90, SDS,HAMD and SAS,60 healthy adults matched in age and sex were selected as controls. Results: Total scores of patients were significantly higher than those of controls on the four rating scales. The psychological symptoms of the patients with the lesions located in the left cerebral hemisphere were more evident than those in the right cerebral hemisphere, and those in cerebral cortex were more evident than in the sub-cortex; the multiple lesions in the cerebrum rendered more severe neuropsychological symptoms than those simple lesions did, the lesions of big size also rendered more severe psychological symptoms than those of small size,the nature was not closely related to the degrees of psychological changes. Conclusion: The psychological symptoms of cerebrovascular diseases were extremely evident. Those symptoms were not closely related to the location,size,and the degree of cerebrovascular diseases.