The Clinical Observation Research Of The Comprehensive Psychological Intervention Effect For Cerebral Apoplexy

ObjectiveWith executing psychological assessment towards of stroke patients during rehabilitation period,design intervention plan for stroke patients with negative emotions,such as depression and anxiety.Adopting psychological interfere measures like music imago therapy,prose listening therapy and stress relaxation training,to help slowing down stroke patients’ adverse emotions such as depression,anxiety,and promoting the recovery process of patients with cerebral apoplexy.Methods(1)Literature research:Within the Chinese biomedical literature database(CBM),China journal full-text database(CNKI),and PubMed foreign language database,use the keywords ’stroke’,’psychological intervention’,’Chinese medicine psychology’,’music therapy’,’prose listening therapy’ and ’ stress relaxation training’ and other keywords to search,and get related literature.Using the methods of literature analysis to execute literature retrieval,analysis and study.(2)Scale method:using anxiety depression self rating scale(SDS),self rating scale(SAS)and symptom self-assessment scale(SCL-90)to assess the depression degree,anxiety degree and psychological condition of patients with cerebral apoplexy.(3)The psychological consultation:the psychological intervention for music therapy is carried out in experimental group.In the process of intervention,execute simple consultation towards the patient,mainly observe the patient ’ s emotional reactions and comprehensive psychological intervention therapy.(4)Statistical analysis:by collecting the data before and after psychological intervention towards patients with cerebral apoplexy,use statistical software SPSS 20.0 for establishing the database,using descriptive statistics and the T test statistical methods to deal with data processing.Results(1)Depression self rating scale score comparison of the experimental group and the control group before and after the psychological intervention:before psychological intervention,there is no significant difference in SDS scores between the experimental group and the control group(P>0.05);After psychological intervention,comparing the control group,the SDS scores in the experimental group had significant difference(P<0.05);(2)SDS diversity comparison of the experimental group and the control group before and after the psychological intervention:after executing the psychological intervention,the SDS score has significant differences between the experimental group and control group(P<0.001);(3))Anxiety self rating scale score comparison of the experimental group and the control group before and after the psychological intervention:before psychological intervention,there is no significant difference in SAS scores between the experimental group and the control group(P>0.05);After psychological intervention,comparing the control group,the SAS scores in the experimental group had significant difference(P<0.05);(4)SAS diversity comparison of the experimental group and the control group before and after the psychological intervention:after executing the psychological intervention,the SAS score has significant differences between the experimental group and control group(P<0.001);(5)Symptoms self rating scale score comparison of the experimental group and the control group before and after the psychological intervention:after the psychological intervention,comparing the control group,the factors of somatization,the forcing symptoms,interpersonal sensitivity,hostility,terror,paranoia,psychosis and other factors has no significant difference in experimental group SCL-90.depression and anxiety and the total score has the significant differences(P<0.05);(6)Symptoms self rating scale diversity Comparison self rating scale score comparison of the experimental group and the control group before and after the psychological intervention:after the psychological intervention,comparing the control group,the forcing symptoms,interpersonal sensitivity,hostility,terror,paranoia,psychosis and other factors has no significant difference in experimental group SCL-90.The factors of somatization,depression and anxiety and the total score has the significant differences(P<0.05);Conclusion(1)The comprehensive psychological intervention can reduce patient’ s depression and anxiety degree and promote the rehabilitation effect;(2)The comprehensive psychological intervention can improve patients somatization symptoms,reduce the physical discomfort and improve treatment effect;(3)The comprehensive psychological intervention can reduce the patient’ s rival mind-set,relieve tired condition and negative behavior like losing temper in a certain extent.