人的个性影响中风后康复
http://www.100md.com
2001年2月15日
FT. LAUDERDALE, Fla. (Reuters Health) - Certain personality traits, such as impatience, insecurity or introversion, may make recovery from stroke more difficult, according to study results presented at the American Stroke Association's 26th International Stroke Conference here.
Dr. Lynn M. Grattan of the University of Maryland School of Medicine, Baltimore, said she and her colleagues used several standardized personality tests to analyze the personalities of 35 stroke survivors. Twenty of the patients were women and the average age was 57.
``Stroke does not change the personality,'' Grattan said in an interview with Reuters Health. She added, however, that stroke may intensify some personality traits.
The personality traits associated with a ``worse'' post-stroke outcome are ``high levels of self-consciousness, introvert, impatience and denial,'' Grattan explained.
Conversely, Grattan said that highly motivated self-starters who ``are good at solving problems and taking initiative'' are likely to do better following a stroke.
She explained that 'better or worse' is measured by the ''likelihood of depression following stroke, or permanent disability.''
Grattan said that stroke rehabilitation could be improved if the treating physician is aware of the patient's personality and modifies the treatment plan accordingly. For example, she said it is a mistake to send a ``very impatient person'' home with the advice ``rest and come to see me in a month.'' A better approach, she said, would be to tell the person that stroke recovery is ``probably going to take 3 months, but here are some things you can do to help your recovery.''
She said the impatient stroke patient should be advised to undertake specific activities, such as ``reading a paper each day and then discussing it later or seeing a movie each night and discussing it.'', http://www.100md.com
Dr. Lynn M. Grattan of the University of Maryland School of Medicine, Baltimore, said she and her colleagues used several standardized personality tests to analyze the personalities of 35 stroke survivors. Twenty of the patients were women and the average age was 57.
``Stroke does not change the personality,'' Grattan said in an interview with Reuters Health. She added, however, that stroke may intensify some personality traits.
The personality traits associated with a ``worse'' post-stroke outcome are ``high levels of self-consciousness, introvert, impatience and denial,'' Grattan explained.
Conversely, Grattan said that highly motivated self-starters who ``are good at solving problems and taking initiative'' are likely to do better following a stroke.
She explained that 'better or worse' is measured by the ''likelihood of depression following stroke, or permanent disability.''
Grattan said that stroke rehabilitation could be improved if the treating physician is aware of the patient's personality and modifies the treatment plan accordingly. For example, she said it is a mistake to send a ``very impatient person'' home with the advice ``rest and come to see me in a month.'' A better approach, she said, would be to tell the person that stroke recovery is ``probably going to take 3 months, but here are some things you can do to help your recovery.''
She said the impatient stroke patient should be advised to undertake specific activities, such as ``reading a paper each day and then discussing it later or seeing a movie each night and discussing it.'', http://www.100md.com