《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (12): 1144-1145.

• 论文 • 上一篇    下一篇

脑卒中患者在康复过程中的心理健康状况

王俊卿1，周筱燕2，张嘉锋3，郭克锋1   

  1. 1.第四军医大学唐都医院康复医学科，陕西西安市710038；2.西安市中心医院中医科，陕西西安市710003；3.陕西省荣誉军人康复医院，陕西华阴市714200。
  • 收稿日期:2012-06-26 修回日期:2012-07-19 出版日期:2012-12-25 发布日期:2012-12-25
  • 通讯作者: 郭克锋

Psychological Status of Stroke Patients during Rehabilitation

WANG Jun-qing, ZHOU Xiao-yan, ZHANG Jia-feng, et al.   

  1. Department of Rehabilitation Medicine, Tangdu Hospital, Fourth Military Medical University of Chinese PLA, Xi'an 710038, Shaanxi, China
  • Received:2012-06-26 Revised:2012-07-19 Published:2012-12-25 Online:2012-12-25

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摘要： 目的了解患者在脑卒中康复过程中的心理卫生状况。方法采用心理卫生症状自评量表(SCL-90)对脑卒中2 周后的患者进行心理检测，并对出血性脑卒中和缺血性脑卒中以及脑卒中的肢体瘫痪不同程度进行比较。结果脑卒中患者患病后2 周普遍存在不同类型和不同程度的心理问题(100%)。出血性脑卒中与缺血性脑卒中患者发生的心理问题类型和程度均无显著性差异(P>0.05)。肢体瘫痪严重者，抑郁、焦虑、恐怖得分明显高于较轻者(P<0.01)，强迫和人际敏感次之(P<0.05)。结论脑卒中后心理问题发生率极高，肢体瘫痪越严重，心理问题越重。

关键词: 脑卒中, 康复, 心理问题

Abstract: Objective To understand the psychological status of stroke patients during rehabilitation. Methods 58 stroke patients were detected with Symptom Checklist (SCL-90) after 2 weeks. Results All the patients presented various psychological problems with various degrees after 2 weeks. There was no difference in types and degrees of psychological problem between hemorrhagic and ischemic stroke patients (P>0.05). The scores of depression, anxiety, terror, forced and interpersonal sensitivity were higher in serious limb paralysis patients than in mild ones (P<0.01). Conclusion The incidence of psychological problem is really high in patients after stroke. The more serious limb paralysis is, the more serious psychological problem is.

Key words: stroke, rehabilitation, psychological problem