Xu Yunhe, Li Xiaojun, Guo Xiaoli, Gao Wenbin
Yunhe Xu, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China. University of Chinese Academy of Sciences, Beijing 100049, China.
Xiaojun Li, Department of Emergency, Baoding No.1 Central Hospital, Baoding 071000, Hebei, China.
Pak J Med Sci. 2024 Oct;40(9):2005-2010. doi: 10.12669/pjms.40.9.7731.
To analyze the psychological status of patients with acute cerebral infarction (ACI), and to evaluate the effect of positive psychological intervention on the treatment and prognosis of ACI.
This was retrospective study. Eighty patients with ACI admitted to Institute of Psychology, Chinese Academy of Sciences from January 2021 to September 2022 were included and randomly divided into observation group (n=40) and control group(n=40). Patients in the control group received conventional treatment and routine care, while those in the observation group received positive psychological intervention based on the control group. Adverse psychological scores, treatment and prognosis, and quality of life as well as nursing satisfaction etc. were analyzed and compared between the two groups.
Both groups showed a significant decrease in SDS and SAS scores at three months after the intervention compared with the pre-intervention period, with a statistically significant difference(P<0.05). After the intervention, the NIHSS score of both groups decreased, with a statistically significant difference(P<0.05). The FMAS and MBI scores increased in both groups compared with those before the intervention, with a statistically significant difference(P<0.05). The SS-QOL scores of both groups were significantly improved compared with before the intervention, with a statistically significant difference(P<0.05). The hospital satisfaction rate in the observation group was significantly higher than that in the control group, with a statistically significant difference (t=12.325, P=0.000).
Positive psychological intervention offers a variety of benefits in the treatment of patients with ACI, such as may alleviate anxiety and depression, reduce neurological deficits, improving quality of life and motor function, and ameliorate the prognosis of patients.
分析急性脑梗死（ACI）患者的心理状态，评估积极心理干预对ACI治疗及预后的影响。
本研究为回顾性研究。纳入2021年1月至2022年9月在中国科学院心理研究所收治的80例ACI患者，随机分为观察组（n = 40）和对照组（n = 40）。对照组患者接受常规治疗和常规护理，观察组患者在对照组基础上接受积极心理干预。分析比较两组患者的不良心理评分、治疗及预后、生活质量以及护理满意度等。
干预后3个月，两组患者的SDS和SAS评分均较干预前显著降低，差异有统计学意义（P < 0.05）。干预后，两组患者的NIHSS评分均降低，差异有统计学意义（P < 0.05）。两组患者的FMAS和MBI评分均较干预前升高，差异有统计学意义（P < 0.05）。两组患者的SS - QOL评分均较干预前显著改善，差异有统计学意义（P < 0.05）。观察组患者的医院满意度显著高于对照组，差异有统计学意义（t = 12.325，P = 0.000）。
积极心理干预对ACI患者的治疗具有多种益处，如可缓解焦虑和抑郁、减轻神经功能缺损、改善生活质量和运动功能，改善患者预后。
