论文部分内容阅读
目的分析初发性脑梗死患者急性期和恢复期的心理情绪特征,探讨进行心理干预的可能性。方法 42例初发性脑梗死患者在急性期(发病后7～15d)和恢复期(16～30d)分别接受了精神卫生症状自评量表(SCL-90)调查,并与31例正常人(对照组)测试结果比较。结果发性脑梗死患者急性期强迫、抑郁、焦虑、敌对、恐怖、偏执等因子评分和SCL-90总分均明显高于对照组(P均<0.05～0.01)。而在恢复期中,脑梗死患者的躯体化、人际关系、抑郁、焦虑和精神病性等因子评分和SCL-90总分均明显高于对照组(P均<0.05～0.01)。结论初发性脑梗死患者发病后不同阶段精神心理异常表现不完全一致,心理干预方法应有针对性。
Objective To analyze the psychological and emotional characteristics of acute and convalescent patients with primary cerebral infarction and to explore the possibility of psychological intervention. Methods A total of 42 patients with primary cerebral infarction were investigated by SCL-90 in acute phase (7-15 days after onset and recovery) (16-30 days), and compared with 31 normal subjects (Control group) test results comparison. Results The score of scoring, anxiety, hostility, terror, paranoid and SCL-90 score in patients with acute cerebral infarction at acute stage were significantly higher than those in control group (all P <0.05-0.01). In recovery period, somatization, interpersonal relationship, depression, anxiety and psychosis, SCL-90 score and SCL-90 score in cerebral infarction patients were significantly higher than those in control group (all P <0.05-0.01). Conclusions The manifestations of mental disorders in different stages of onset of patients with initial cerebral infarction are not exactly the same. Psychological intervention should be targeted.