心理干预影响脊髓损伤患者抑郁症状的临床观察

Clinical study on effect of psychological intervention on depressive symptoms of patients with spinal cord injury.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(2)
作者
作者单位

四川大学华西医院 ;

摘要
目的 探讨心理干预对脊髓损伤(SCI)患者抑郁状态及生存质量的影响。方法 随机将80例确诊脊髓损伤患者分为治疗组及对照组,每组40例。2组患者均给予常规康复训练,治疗组另予以系统心理干预,于治疗前及治疗3个月后采用贝克抑郁问卷(BDI)及汉密尔顿抑郁量表(HAMD)评定患者抑郁情况,用简明健康调查问卷(SF-36)评定生存质量。结果 治疗组BDI及HAMD评分明显低于对照组,差异有统计学意义(P <0.05),治疗组SF- 36 中的生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康分值明显高于对照组,差异有统计学意义(P <0.05),治疗组 SF-36 中的生理功能分值高于对照组,差异无统计学意义(P >0.05)。结论 心理干预,能明显改善SCI患者抑郁的心理状态,提高SCI患者的生存质量。
Abstract
Objective Todiscusstheeffect of psychological interventionondepressivesymptomsandquality To discuss the effect of psychological intervention on depressive symptoms and qualityof life(QOL)of patientswithspinal cordinjury(SCI). (QOL)of patientswithspinal cordinjury(SCI). QOL)of patientswithspinal cordinjury(SCI). )of patientswithspinal cordinjury(SCI). of patients with spinal cord injury(SCI). (SCI). SCI). ). Methods 80patientsdiagnosedasspinal cordinjurywere 80 patients diagnosed as spinal cord injury wererandomly divided into treatment group and control group with 40 cases in each group. Both groups were given routinerehabilitation training and the treatment group was given additional systematic psychological intervention. The depres-sive symptoms were assessed using Beck Depression Inventory(DBI)andHamiltonDepressionScale(HAMD). QOL (DBI)andHamiltonDepressionScale(HAMD). QOL DBI)andHamiltonDepressionScale(HAMD). QOL )andHamiltonDepressionScale(HAMD). QOL and Hamilton Depression Scale(HAMD). QOL (HAMD). QOL HAMD). QOL ). QOL . QOLof patients was evaluated using Short Form-36 health survey questionnaire(SF-36). (SF-36). SF-36). ). Results Treatment grouphad Treatment group hadlower DBI and HAMD scores than the control group with statistically significant differences(P <0.05). Inthetreat- ). Inthetreat- . In the treat-ment group,thescoresforrole-physical,bodilypain,general health,vitality,social functioning,role-emotional ,thescoresforrole-physical,bodilypain,general health,vitality,social functioning,role-emotional the scores for role-physical,bodilypain,general health,vitality,social functioning,role-emotional ,bodilypain,general health,vitality,social functioning,role-emotional bodily pain,general health,vitality,social functioning,role-emotional ,general health,vitality,social functioning,role-emotional general health,vitality,social functioning,role-emotional ,vitality,social functioning,role-emotional vitality,social functioning,role-emotional ,social functioning,role-emotional social functioning,role-emotional ,role-emotional role-emotionaland mental health in SF-36 were all lower than the control group with statistical significance(P <0.05). Thetreatment ). Thetreatment . The treatmentgroup had a greater physiological functioning score than the control group but the difference was not statistically signifi-cant(P >0.05). ). Conclusion Psychological interventioncanmarkedlyimprovedepressivesymptomsandenhance Psychological intervention can markedly improve depressive symptoms and enhanceQOL of SCI patients.
关键词
脊髓损伤;心理干预;抑郁
KeyWord
Spinal cord injury;Psychologicalintervention;Depression
基金项目
页码 364-366
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李 娜*,蒋春燕,雷 倩,钟露颖. 心理干预影响脊髓损伤患者抑郁症状的临床观察 [J]. 国际精神病学杂志. 2016; 43; (2). 364 - 366.

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