在重型颅脑外伤康复期提供心理治疗干预的价值

The value of providing psychotherapy intervention during the rehabilitation period of severe traumatic brain injury

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(4)
作者
作者单位

周口市中心医院神经外科一病区 ;

摘要
【摘要】探讨心理治疗干预对重型颅脑外伤患者恢复期患者焦虑、抑郁情绪的影响。方法 纳入90例重型颅脑外伤患者研究(2019年7月~2021年4月),按随机数字表法分为2组,45例纳入对照组接受常规干预,45例纳入观察组在对照组基础上接受心理治疗干预,统计两组心理状态、并发症率、应对方式等临床指标。结果 观察组并发症率为8.89%,低于对照组的26.67%(P<0.05)。观察组汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分结果,均低于对照组(P<0.05)。观察组记录的应对方式中面对评分,较对照组升高;回避、屈服评分,较对照组降低(P<0.05)。结论 心理治疗干预对改善重型颅脑外伤患者焦虑、抑郁症状有积极作用,通过实施可降低其并发症率,改善预后效果。
Abstract
[Abstract] Objective: To explore the effect of psychotherapy intervention on anxiety and depression in patients with severe traumatic brain injury during the recovery period. Methods: A study of 90 patients with severe traumatic brain injury (July 2019 to April 2021) was included. They were randomly divided into two groups using a random number table method. 45 patients were included in the control group and received routine intervention, while 45 patients in the observation group received psychotherapy intervention on the basis of the control group. Clinical indicators such as psychological status, comorbidity rate, and coping style were statistically analyzed for the two groups. Results The complication rate in the observation group was 8.89%, lower than 26.67% in the control group (P<0.05). The Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) scores in the observation group were lower than those in the control group (P<0.05). The coping style scores recorded in the observation group were higher than those in the control group; The avoidance and yield scores were lower than those of the control group (P<0.05). Conclusion: Psychological therapy interventions have a positive effect on improving anxiety and depression symptoms in patients with severe traumatic brain injury. Through implementation, the incidence of complications can be reduced and the prognosis can be improved.
关键词
【关键词】 心理治疗;重型颅脑外伤;焦虑;抑郁
KeyWord
Keywords: Psychological therapy; Severe traumatic brain injury; Anxiety; depressed
基金项目
页码 809-811
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董文征*. 在重型颅脑外伤康复期提供心理治疗干预的价值 [J]. 国际精神病学杂志. 2023; 50; (4). 809 - 811.

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