目的观察运动性引导想象训练对卒中后患者睡眠障碍和焦虑、抑郁情绪的干预效果。方法选取脑卒中后睡眠障碍和情绪障碍患者作为研究对象,分为试验组(n=50)和对照组(n=42)。对照组进行神经内科常规治疗,试验组在对照组的基础上进行运动性...目的观察运动性引导想象训练对卒中后患者睡眠障碍和焦虑、抑郁情绪的干预效果。方法选取脑卒中后睡眠障碍和情绪障碍患者作为研究对象,分为试验组(n=50)和对照组(n=42)。对照组进行神经内科常规治疗,试验组在对照组的基础上进行运动性引导想象训练。两组在干预前后采用匹兹堡睡眠质量指数量表(The Pittsburgh sleep quality index scale,PSQI)评价睡眠质量,采用医院焦虑抑郁量表(the Hospital Anxiety and Depression Scale,HADS)评价情绪状态,采用脑卒中专用生活质量量表(stroke specific quality of life,SS-QOL)评价生活质量。结果干预1周、5周后,试验组PSQI评分、HADS评分[分别为(4.95±1.94)分,(3.91±1.63)分;(12.92±2.58)分,(7.26±4.49)分]低于对照组[分别为(10.81±3.23)分,(7.93±3.20)分;(18.45±3.03)分,(12.07±5.48)分],两组PSQI评分、HADS评分比较,差异有统计学意义(P<0.05);重复测量方差分析结果显示,两组PSQI评分和HADS评分组间效应、时间效应及两者交互效应均差异有统计学意义(P<0.05)。干预1周、5周后,试验组SS-QOL评分[分别为(194.12±18.98)分,(213.66±17.95)分]高于对照组[分别为(156.81±18.39)分,(194.12±25.41)分],两组SS-QOL评分比较,差异有统计学意义(P<0.05);重复测量方差分析结果显示,两组SS-QOL评分组间效应、时间效应及两者交互效应均差异有统计学意义(P<0.05)。结论运动性引导想象训练可改善卒中患者的睡眠障碍和焦虑、抑郁情绪,提高患者的生活质量。展开更多
脑卒中患者除偏瘫外,还可出现一系列情感行为的变化,其中抑郁和焦虑是脑卒中后常见的心理障碍.有研究表明只有39.5%的情感障碍和59.3%的焦虑障碍是以单独的形式出现的,而焦虑抑郁共病（comorbid anxiety and depression,CAD）则是最常...脑卒中患者除偏瘫外,还可出现一系列情感行为的变化,其中抑郁和焦虑是脑卒中后常见的心理障碍.有研究表明只有39.5%的情感障碍和59.3%的焦虑障碍是以单独的形式出现的,而焦虑抑郁共病（comorbid anxiety and depression,CAD）则是最常见的共病模式[1].这种情绪变化不仅影响患者的生存质量,也妨碍其神经功能的恢复,不仅给患者带来躯体上和精神上痛苦,而且增加了家庭和社会的负担,为此,越来越多的学者意识到脑卒中后抑郁焦虑共病早期诊断和积极干预的重要性.现将脑卒中后焦虑抑郁共病的研究情况作一介绍.展开更多
Post-stroke neuropsychiatric(NP) disorders are common and have complex etiologies.Multiple factors such as lesion location, personality characteristics, socioeconomic status, pre-stroke psychiatric history, and family...Post-stroke neuropsychiatric(NP) disorders are common and have complex etiologies.Multiple factors such as lesion location, personality characteristics, socioeconomic status, pre-stroke psychiatric history, and family support are the determining factors in most cases. Although depression and anxiety are more common, emotional incontinence and catastrophic reactions are also frequently observed. Post-stroke depression(PSD)has been associated with an increased risk of stroke recurrence. Despite its serious consequences and high prevalence, PSD remains undetected and untreated. Treatment options of NP disorders depend on severity, presentation at the time of diagnosis, and patient cooperation, and include antidepressants, mood stabilizers, exercise therapy, psychotherapy, and even revascularization. The efficient management of NP disorders improves outcomes, quality of life, and survival rates in post-stroke patients. However,very few studies have identified definitive treatment for these patients; therefore, further research is required.展开更多
文摘目的观察运动性引导想象训练对卒中后患者睡眠障碍和焦虑、抑郁情绪的干预效果。方法选取脑卒中后睡眠障碍和情绪障碍患者作为研究对象,分为试验组(n=50)和对照组(n=42)。对照组进行神经内科常规治疗,试验组在对照组的基础上进行运动性引导想象训练。两组在干预前后采用匹兹堡睡眠质量指数量表(The Pittsburgh sleep quality index scale,PSQI)评价睡眠质量,采用医院焦虑抑郁量表(the Hospital Anxiety and Depression Scale,HADS)评价情绪状态,采用脑卒中专用生活质量量表(stroke specific quality of life,SS-QOL)评价生活质量。结果干预1周、5周后,试验组PSQI评分、HADS评分[分别为(4.95±1.94)分,(3.91±1.63)分;(12.92±2.58)分,(7.26±4.49)分]低于对照组[分别为(10.81±3.23)分,(7.93±3.20)分;(18.45±3.03)分,(12.07±5.48)分],两组PSQI评分、HADS评分比较,差异有统计学意义(P<0.05);重复测量方差分析结果显示,两组PSQI评分和HADS评分组间效应、时间效应及两者交互效应均差异有统计学意义(P<0.05)。干预1周、5周后,试验组SS-QOL评分[分别为(194.12±18.98)分,(213.66±17.95)分]高于对照组[分别为(156.81±18.39)分,(194.12±25.41)分],两组SS-QOL评分比较,差异有统计学意义(P<0.05);重复测量方差分析结果显示,两组SS-QOL评分组间效应、时间效应及两者交互效应均差异有统计学意义(P<0.05)。结论运动性引导想象训练可改善卒中患者的睡眠障碍和焦虑、抑郁情绪,提高患者的生活质量。
文摘脑卒中患者除偏瘫外,还可出现一系列情感行为的变化,其中抑郁和焦虑是脑卒中后常见的心理障碍.有研究表明只有39.5%的情感障碍和59.3%的焦虑障碍是以单独的形式出现的,而焦虑抑郁共病（comorbid anxiety and depression,CAD）则是最常见的共病模式[1].这种情绪变化不仅影响患者的生存质量,也妨碍其神经功能的恢复,不仅给患者带来躯体上和精神上痛苦,而且增加了家庭和社会的负担,为此,越来越多的学者意识到脑卒中后抑郁焦虑共病早期诊断和积极干预的重要性.现将脑卒中后焦虑抑郁共病的研究情况作一介绍.
基金Supported by the Nanjing Science and Technology Project(No.201303045)Jiangsu Science and Technology Project–Clinical Medicine Special Grant(No.2014076)
文摘Post-stroke neuropsychiatric(NP) disorders are common and have complex etiologies.Multiple factors such as lesion location, personality characteristics, socioeconomic status, pre-stroke psychiatric history, and family support are the determining factors in most cases. Although depression and anxiety are more common, emotional incontinence and catastrophic reactions are also frequently observed. Post-stroke depression(PSD)has been associated with an increased risk of stroke recurrence. Despite its serious consequences and high prevalence, PSD remains undetected and untreated. Treatment options of NP disorders depend on severity, presentation at the time of diagnosis, and patient cooperation, and include antidepressants, mood stabilizers, exercise therapy, psychotherapy, and even revascularization. The efficient management of NP disorders improves outcomes, quality of life, and survival rates in post-stroke patients. However,very few studies have identified definitive treatment for these patients; therefore, further research is required.
