【作者】 温红娟；

【导师】 黄冬梅；

【作者基本信息】 吉林大学 ， 应用心理学， 2007， 硕士

【摘要】 现代社会随着经济的飞速发展,人们普遍出现因快节奏、压力和竞争带来的各种情绪反应,如紧张、焦虑、恐惧甚至抑郁。各种情绪的产生原本是人对环境的适应性反应,但这种应激反应变得过分持久,就会危害人的身心健康。近年来,心理干预在临床中的作用越来越引起人们的重视,尤其对癌症患者的治疗,取得较好的疗效。就目前对脑卒中患者的心理干预相关研究来看,此方面研究尚不多。本研究认为关注脑卒中患者的临床心理干预研究,对于改善脑卒中患者的生活质量,提高其临床疗效都具有重要的理论与实践意义。本研究基于良好的临床研究条件,采用自编患者一般情况调查表、焦虑自评量表、抑郁自评量表、症状自评量表、自理能力评定量表、神经功能评定量表,选取吉林省电力医院神经内科住院脑卒中患者80名作为被试,旨在探讨三个问题:1.脑卒中患者的心身状况;2.探讨在常规治疗基础上,加以相应的心理干预,对脑卒中患者负性情绪、心理状况的影响作用;3.探讨在常规治疗基础上,加以相应的心理干预,对脑卒中患者生活自理能力和神经功能缺损的影响作用。结果表明:心理干预对脑卒中患者负性情绪、心理健康状况及生活自理能力和神经功能缺损的恢复和好转,具有积极的促进作用。更多还原

【Abstract】 With the rapid development of economy in this modern society, people always have the emotional reflections such as nervousness, anxiousness, fear and depression because of fast rhythm ,competition and pressure. The appearances of the sentiments are adaptable reaction to environment. However, the excessive lasting of this reaction will harm people’s physical and psychological health. Together with traditional biological medicine’s change to modern biology-psychology-social medicine model, people attached more and more importance to psychological factors’influence to people’s physical and psychological health.Cerebral apoplexy is also called apoplexy. Patients always appeared the phenomenon of physical dysfunction, social hypofunction and role alleosis. All these factors affected the patients and brought serious psychological pressure and impediments of different extent. These psychological impediments have severe negative influence to patients’organism functional rehabilitation。According to the relative research to mental intervention of cerebral apoplexy patients, there are few reports. In the author’s opinion, comprehending of cerebral apoplexy patients’negative emotions and physical and psychological condition and then giving them correspondent mental intervention are especially significant to enhance cerebral apoplexy patients to go back to society and elevate their quality of life.This research based on good clinical research condition, chooses 80 cerebral apoplexy patients in Nervous Medical Department of Jilin Electric Power Hospital as objectives and divides them into intervention group and control group according to the random matching principle. Together with the conventional therapy, the author gives patients of intervention group three-week psychological behavior intervention. Meanwhile, control group was only given the conventional therapy patients of intervention group got. The author made a research on patients’negative emotions, neurologic defections and self-care functions before and after intervention by SDS, SAS, SCL-90, ADL and CSS with the aim of approach of three problems: 1. Cerebral apoplexy patients’physical and psychological conditions. 2. Approach to the psychological intervention’s influence of cerebral apoplexy patients’negative emotions and psychological conditions together with correspondent mental intervention. 3. Approach to the psychological intervention’s influence of cerebral apoplexy patients’self-care ability and neurologic impairment together with conventional therapy. Results: 1. Psychological intervention is effective in improving cerebral apoplexy patients’negative emotions and physical and psychological conditions. 2. Psychological intervention has energetic promotion in cerebral apoplexy patients’self-care ability and neurologic impairment. 3. Psychological intervention is helpful to establish new treatment model of cerebral apoplexy. 4. Psychological intervention is helpful to stimulate cerebral apoplexy patients’activeness and compliance during treatment course.更多还原