《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (03): 292-293.

• 康复护理 • 上一篇    下一篇

心理干预对脑卒中吞咽障碍并发抑郁患者的影响

时美芳;朱美红;祝莉   

  1. 嘉兴市第二医院康复医学中心，浙江嘉兴市，314000
  • 收稿日期:2008-11-03 出版日期:2009-03-01 发布日期:2009-03-01

Psychological Intervention for Dysphagia after Stroke Complicated with Depression

SHI Mei-fang, ZHU Mei-hong, ZHU Li   

  1. The Second Hospital of Jiaxing, Jiaxing 314000, Zhejiang, China
  • Received:2008-11-03 Published:2009-03-01 Online:2009-03-01

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摘要： 目的 观察心理干预对脑卒中吞咽障碍功能及抑郁状态的影响。方法 将60例脑卒中吞咽障碍并发抑郁患者分为治疗组30例、对照组30例，两组患者在接受常规吞咽康复训练和康复护理的同时，治疗组在此基础上重点介入心理干预。治疗前后采用脑卒中后抑郁多模式诊断(MMADD)及洼田饮水试验进行测评。结果 治疗后治疗组吞咽功能评分和抑郁的内心症状评分均低于对照组（P＜0.05）。结论 对脑卒中吞咽障碍并发抑郁患者，在进行吞咽障碍功能训练的同时早期介入心理干预，能明显改善抑郁状态，提高吞咽功能训练效果。

关键词: 脑卒中, 吞咽障碍, 抑郁, 心理干预

Abstract: Objective To observe the effect of psychological intervention on dysphagia after stroke complicated with depression. Methods 60 cases with dysphagia complicated with depression were divided into treatment and control groups. Based on the nountine nursing and swallowing function training, the treatment group received psychological intervention. They were assessed with multimodel approach to diagnosis of post stroke depression (MMADD) and drinking test before and after treatments. Results The scores of drinking test and MMADD inside symptom in treatment group were lower than that of control （P＜0.05）. Conclusion The psychological intervention at early stage can facilitate the recovery of swallowing dysfunction and depresson after stroke.

Key words: stroke, dysphagia, depression, psychological intervention