Antidepressant therapy in stroke rehabilitation _2

yxfbbiedtj · Wysłany: Pią 19:20, 25 Mar 2011

Antidepressant therapy in stroke rehabilitation

; LCOLLEGE20OO,[link widoczny dla zalogowanych], 1o (3) 2 2.1 Evaluation methods and results evaluation method used HRSD, based on patient observation and narrative based on the first score of patients IZI also refer to the views of families and nannies, before and after treatment in the assessment of antidepressant a comparison, effects were observed. The results of the division in accordance with DavisJM 22, 28 patients were divided into severe depression (score> 35 points) and mild or moderate depression (score> 20 points) groups, two groups of patients before and after treatment were significantly different (P <0.01) in Table 1. Table 1 Comparison of evaluation results before and after treatment HIZSD * dead (001v Japanese boil the first 3 to discuss the change with the medical model, it has been recognized that assessment of impact of the disease and treatment should not only pay attention to organ function, patients should pay attention to psychological, social function of the state in order to obtain a more comprehensive health conclusions stroke as a common chronic diseases, physical disabilities, in addition to the sufferers, but also to the patient's psychological, social function, physical life, and has also brought adverse effects. brain pathogenesis of depression after stroke is inconclusive, some scholars believe is a pure psychogenic reaction, some scholars tend to biological mechanism, that is, with the central NE neurons and 5.HT damaged neurons and their pathways lead to two transmitters For low level. according to the modern medical model to study, stroke after stroke depression is a psychological barrier, so also in the treatment of primary disease, psychological therapy should be an indispensable part. mental disorder, always the distorted understanding of reality-based. from a one-sided point of view to judge reality and speculate about the future, it will lead to social maladjustment. our 28 patients, 76% of patients from the view that longer course, to the family mobility added trouble, affecting family life and work of others into trouble, so often blame themselves, think they committed a crime, the current disease is their punishment; or that his recovery has been very unsatisfactory or impossible to recover can not take care of themselves as before, or return to community investment opinions on feel alive, interesting, have a negative idea or suicidal thoughts. This seriously affected the psychological state of the patient's mood, confidence in the rehabilitation of abandoned, lost the recovery time. patients To appear in this state are worried about panic and very painful. We use the methods of cognitive behavior therapy to change maladaptive cognitive patient to correct the wrong way of thinking, to return to mental health treatment in the course of ho doctors to take a warm, active interest in, put ourselves in understanding and sincere help attitude, listening, and encourage patients to talk to, with emotional reflection technology to promote the patients with negative emotions sulfur vent. to patients that depression and negative thoughts, beliefs about, negative thoughts and depression the vicious cycle of depression unhealed. For patients learn to In addition, for patients with severe depression antidepressant drug treatment applied to the same time, help coordinate the balance within the environment, improve the treatment of the initiative, and functional training into practice. This in most cases through psychological treatment, and gradually changed the error cognition, improved mood, re-active part in rehabilitation conclusion, the occurrence of depression after stroke in the biological, psychological, social commitments under the action of factors. The post-stroke depression has seriously affected the daily life of patients with hindering for rehabilitation. So for depression after stroke as soon as possible to see through, active treatment, making smooth progress of rehabilitation to improve the quality of life.