认知行为干预对老年脑卒中抑郁患者睡眠质量的改善研究
A study on the improvement of sleep quality in elderly patients with stroke depression by cognitive behavioral intervention
ES评分 0
| DOI |
| 刊名 |
Journal of International Psychiatry
|
| 年，卷(期) |
2020, 47(5) |
| 作者 |
|
| 作者单位 |
郑州大学第一附属医院 ;
|
| 摘要 |
[摘要] 研究认知行为干预对老年脑卒中抑郁患者睡眠质量的改善情况。方法 纳入2018年10月至2019年10月于我院收治的90例老年脑卒中后抑郁患者为研究对象，按照随机数表法分为两组，各45例，其中对照组予以神经内科常规药物治疗及康复训练，观察组在对照组基础上进行认知行为干预。分别于干预前及干预1、4 w后采用匹兹堡睡眠质量指数量表（PSQI）、医院焦虑抑郁量表（HADS）、脑卒中专用生活质量量表（SS-QOL）分别评估患者睡眠质量、抑郁情况及生活质量。结果 两组干预1、4 w PSQI评分显著低于干预前（P＜0.05），干预4 w PSQI评分显著低于干预1 w（P＜0.05）；观察组干预1、4 w PSQI评分显著低于对照组（P＜0.05）。两组干预1、4 w HADS评分显著低于干预前（P＜0.05），干预4 w HADS评分显著低于干预1 w（P＜0.05）；观察组干预1、4 w HADS评分显著低于对照组（P＜0.05）。两组干预1、4 w SS-QOL评分显著高于干预前（P＜0.05），干预4 w SS-QOL评分显著高于干预1 w（P＜0.05）；观察组干预1、4 w SS-QOL评分显著高于对照组（P＜0.05）。结论 认知行为干预对改善老年脑卒中抑郁患者睡眠质量及抑郁症状、提高生活质量具有临床价值。
|
| Abstract |
[Abstract] Objective To study the effect of cognitive behavioral intervention on sleep quality of elderly patients with stroke depression.Methods 90 elderly patients with post-stroke depression admitted to our hospital from October 2018 to October 2019 were included in the study. According to the random number table method, they were divided into two groups, 45 in each group. The control group was given routine drug treatment and rehabilitation training in neurology, and the observation group was given cognitive behavioral intervention on the basis of the control group. Pittsburgh sleep quality index (PSQI), hospital anxiety and Depression Scale (HADS) and stroke specific quality of life scale (SS-QOL) were used to assess the sleep quality, depression and quality of life of the patients before and after the intervention for 1 and 4 weeks.Results The PSQI scores of the two groups were significantly lower than those before intervention（P＜0.05）, The PSQI score of 4 weeks was significantly lower than that of 1 week（P＜0.05）；The PSQI score of the observation group was significantly lower than that of the control group（P＜0.05）.The scores of 1 and 4 W HADS in the two groups were significantly lower than that before intervention（P＜0.05）; After 4 weeks of intervention, the scores of HADS were significantly lower than that of 1 week of intervention（P＜0.05）；The scores of 1 and 4 weeks of intervention in the observation group were significantly lower than those in the control group （P＜0.05）.The score of SS-QOL in the first and fourth week of intervention was significantly higher than that before intervention（P＜0.05）; The score of SS-QOL in the fourth week of intervention was significantly higher than that in the first week of intervention （P＜0.05）;The SS-QOL score of the observation group was significantly higher than that of the control group（P＜0.05）.Conclusion Cognitive behavioral intervention has clinical value in improving sleep quality, depressive symptoms and quality of life of elderly patients with stroke depression.
|
| 关键词 |
[关键词] 认知行为干预；脑卒中；抑郁；老年人；睡眠质量
|
| KeyWord |
[Key words] Cognitive behavioral intervention; Cerebral apoplexy; Depressed; Elderly patients; Sleep quality
|
| 基金项目 |
|
| 页码 |
1049-1052 |
聂贝贝*.
认知行为干预对老年脑卒中抑郁患者睡眠质量的改善研究 [J].
国际精神病学杂志.
2020; 47; (5).
1049 - 1052.