Psychological problems affecting the prognosis of stroke patients

作     者：Xiaohua Fu Jia Sun Hong Wang Qingyang Song 

作者机构：Department of Neurology Beijing Longfu Hospital Beijing 100010 China 

出 版 物：《Neural Regeneration Research》 (中国神经再生研究（英文版）)

年 卷 期：2007年第2卷第12期

页      面：760-763页

核心收录：

学科分类：0402[教育学-心理学(可授教育学、理学学位）] 040203[教育学-应用心理学] 04[教育学] 

主　　题：stroke psychological problem depression psychotherapy 

摘      要：BACKGROUND： It is believed that mental disorder influences the morbility and prognosis of cardio-cerebrovascular disease by biological factors. OBJECTIVE： To observe the characteristics of stroke patients complicated by psychological problems and the prognosis of such patients. DESIGN： Observational study. SETTING： Department of Neurology, Beijing Longfu Hospital. PARTICIPANTS： Totally 160 inpatients （46 males and 114 females） with stroke admitted to Department of Neurology, Beijing Longfu Hospital between June 2005 and June 2006 were recruited in this study. The involved patients all corresponded to the diagnosis criteria of cerebrovascular disease formulated in the 1995 National Conference of Cerebrovascular Disease and confirmed by skull CT or MRI examination. The age range was between 43 and 74 years. They all signed the informed consent for the detection and therapeutic regimen, and the application of this technique also gave the approval of the Ethics Committee of the hospital. METHODS： On admission, the patients were investigated on psychological problems using Hopkin symptom checklist. After admission, all the patients received oral administration of aspirin anti-platelet drugs and intravenous infusion of Fufang Danshen. Motor relearning program was used in the rehabilitation treatment for disability rehabilitation. Mental intervention was carried out in the end of observation period. On day 30 after admission, the recovery of two groups of patients was compared using activities of daily living scale, Scandinanvian Stroke Scale （SSS） and disability level. MAIN OUTCOME MEASURES： The activities of daily living were assessed with Barthel index. Higher scores of patients suggested better activities of daily living. For SSS, the higher points, the severer defect degree. The reduction of scores of neurologic impairment suggested that neurological function improved. Disability level was graded according to the method formulated in the Second National Ce