Bronstein K S
University of Chicago Hospitals, Illinois.
Nurs Clin North Am. 1991 Dec;26(4):1007-17.
Relatively little is known about poststroke psychosocial adjustments when compared to the wealth of data present regarding functional recovery. Recent studies have shown depression to exist in a large portion of the stroke population. Varying degrees of depression may be associated with lesion location, functional capacity, and personal and social support. Identification of depression in stroke patients and the implications for care interventions are in their infancy. Beginning efforts at assessing coping strategies and personal resources are indicating some correlation between how people cope and their ability to manage stressful illness situations such as stroke. At present, there is no conclusive evidence that any intervention can improve emotional and social well-being. Efforts are being pursued to treat stroke depressive disorders. These efforts, combined with the initiation of stroke support groups, ongoing community follow-up, and psychosocial treatment approaches, may improve the quality of life of stroke victims.
与关于功能恢复的大量数据相比，人们对中风后的社会心理调适了解相对较少。最近的研究表明，很大一部分中风患者存在抑郁症。不同程度的抑郁症可能与病变部位、功能能力以及个人和社会支持有关。中风患者抑郁症的识别及其对护理干预的影响尚处于起步阶段。开始评估应对策略和个人资源的努力表明，人们的应对方式与其应对中风等压力性疾病情况的能力之间存在一定关联。目前，没有确凿证据表明任何干预措施能改善情绪和社会幸福感。正在努力治疗中风抑郁症。这些努力，再加上启动中风支持小组、持续的社区随访和社会心理治疗方法，可能会改善中风患者的生活质量。
