综合心理干预对脑动脉硬化症患者心理状态的影响

目的探讨心理干预对脑动脉硬化症患者心理状态的影响。方法将60例脑动脉硬化症患者随机分为观察组和对照组,每组30例。观察组采用综合心理干预(放松疗法、健康教育、心理护理)和药物治疗;对照组只采用药物治疗,于首次治疗前和治疗8周后由患者分别填写症状自评量表(scl-90)。结果观察组治疗后较治疗前总分及躯体化、抑郁、焦虑、恐怖4个因子得分下降,差异具有显著性(P<0.05),对照组治疗后较治疗前有躯体化1个因子得分下降,差异具有显著性(P<0.05);两组治疗前各因子得分差异无显著性,治疗后两组间比较,观察组有总分及人际关系、抑郁、焦虑、恐怖、偏执5个因子分的改善优于对照组,差异有显著性(P<0.05或P<0.01)。结论脑动脉硬化症患者的心理健康状况较一般人群偏差,可采取放松疗法、健康教育、心理护理等心理干预,改善患者的焦虑、抑郁等心理症状。

Effect of general psychological interventions on mental state of patients with cerebral arteriosclerosis

[Objective] To observe the influence of general psychological interventions on mental state of patients with cerebral arteriosclersis. [Methods] A total of 60 patients with cerebral arteriosclersis were randomly divided into intervention group and control group, and each group had 30 patients. In the intervention group, general psychological interventions(relaxation therapy, health education, mental nursing) and drug therapy were taken; in the control group, only drug therapy was taken. The symptom checklist-90(SCL-90) was filled out before and 8 weeks after treatment respectively. [Results] In the intervention group, somatization, depression, anxiety, phobia factors scores were decreased as compared with that before treatment, which indicated significant difference (P <0.05), in the control group, only somatization factor score was decreased as compared with that before treatment, which indicated significant difference(P <0.05); differences from these factors scores in the two groups before the treatment had no significant meaning. After treatment, total and interpersonal relationship, depression, anxiety, phobia, crankiness factors scores in the intervention were significantly better than those in the control group, which indicated significant difference (P <0.05 or P <0.01). [Conclusion] The mental state of patients with cerebral arteriosclerosis is worse than the normal people ,the relaxation therapy, health education, mental nursing and so on psychological interventions can be taken to improve the anxiety, depression and so on mental symptoms of patients.