基于认知-行为的心理护理对青年脑卒中后抑郁的康复效果的影响
Effect of Cognitive-Behavior-Based Psychological Nursing on the Rehabilitation Effect of Post-Stroke Depression in Young People
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2020, 47(3) |
| 作者 |
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| 作者单位 |
河南大学第一附属医院 ;
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| 摘要 |
【摘要】研究基于认知-行为的心理护理对青年脑卒中后抑郁的康复效果的影响。方法 选择本院2018年6月-2019年11月114例青年脑卒中后抑郁患者为研究对象，随机分为两组。对照组给予常规护理，观察组在此基础上开展基于认知-行为的心理护理，连续护理2周。护理前后评价汉密尔顿抑郁量表(HAMD)、焦虑量表(HAMA)、美国国立卫生研究院卒中量表（NIHSS)；健康调查简表(SF-36)以及简明精神状态检查量表（MMSE）。结果 两组护理后HAMA评分、HAMD评分、NIHSS评分均显著降低，SF-36评分、MMSE评分均显著升高，但护理后观察组HAMA评分、HAMD评分、NIHSS评分显著低于对照组，SF-36评分、MMSE评分显著高于对照组，差异均有统计学意义(P<0.05)。结论 基于认知-行为的心理护理能够有效降低青年脑卒中后抑郁患者焦虑、抑郁等不良情绪，并有助于改善神经及认知功能，提升生活质量。
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| Abstract |
[Abstract] Objective To study the effect of cognitive-behavior-based psychological nursing on the rehabilitation effect of post-stroke depression in young people. Methods A total of 114 young patients with post-stroke depression in our hospital from June 2018 to November 2019 were selected as the research subjects and randomly divided into two groups. The control group was given routine nursing, and the observation group was based on cognitive-behavioral psychological nursing, and continued nursing for 2 weeks. The Hamilton Depression Scale (HAMD), Anxiety Scale (HAMA), National Institutes of Health Stroke Scale (NIHSS), Brief Health Survey (SF-36), and Concise Mental State Examination Scale (MMSE) were evaluated before and after nursing. Results After treatment, the HAMA score, HAMD score, and NIHSS scores of the two groups were significantly decreased, and the SF-36 score and MMSE score were significantly increased, but the HAMA score, HAMD score, and NIHSS score of the observation group were significantly lower than those of the control group, and SF-36 The score and MMSE score were significantly higher than those in the control group, and the differences were statistically significant (P<0.05). Conclusion Cognitive-behavior-based psychological nursing can effectively reduce the anxiety and depression of young post-stroke depression patients, and help to improve neurological and cognitive functions and quality of life.
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| 关键词 |
【关键词】认知-行为疗法；心理护理；青年脑卒中；抑郁
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| KeyWord |
Key words Cognitive-Behavioral Therapy; Psychological Care; Young Stroke; Depression
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| 基金项目 |
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| 页码 |
606-608 |
张彩霞*.
基于认知-行为的心理护理对青年脑卒中后抑郁的康复效果的影响 [J].
国际精神病学杂志.
2020; 47; (3).
606 - 608.