帕金森病合并抑郁和认知功能障碍患者应用积极心理护理干预的临床研究

Parkinsons disease with depression and cognitive impairment in patients with positive clinical study of psychological nursing intervention

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(6)
作者
作者单位

河北省唐山市第五医院心理咨询中心 ;
河北省唐山市妇幼保健院 ;

摘要
【摘要】目的:探讨积极心理护理干预对帕金森合并抑郁及认知功能患者的临床效果。方法:选取2014年1月—2015年12月我院收治的帕金森合并抑郁症及认知功能障碍患者116例,根据治疗病区分成两个组,各58例,对照组实施常规心理护理模式,观察组在常规心理护理基础上,行积极心理干预,连续干预8周。采用汉密尔顿抑郁量表(HAMD)和蒙特利尔认知评估量表(MoCA),观察比较两组干预前后的抑郁和认知功能变化。结果:两组干预前HAMD、MoCA评分比较,差异无统计学意义(P>0.05)。干预8周后,观察组因信息不通等缘故失访4例,对照组失访5例。两组HAND评分较干预前均有显著下降(P<0.05),观察组下降幅度明显高于对照组,比较差异有统计学意义(P<0.05)。观察组MoCA总分和语言能力、命名能力、延迟回忆等5个维度评分均明显高于干预前,比较差异有统计学意义(P<0.05);和对照组比较,MoCA总分和语言能力、命名能力、延迟回忆3个维度评分明显高于对照组,差异有统计学意义(P<0.05)。结论:积极心理干预可显著改善帕金森病患者抑郁和认知功能障碍症状,对提高患者生存和生活质量具有积极意义。
Abstract
【Abstract】Purpose:Discussion on positive psychological nursing intervention on the Parkinsons disease with depression and cognitive function of patients with clinical results..Method:Select January 2014-December 2015 in our hospitals Parkinsons disease depression and cognitive impairment in patients with 116 cases,According to the treatment wards are divided into two groups,Each group of 58 cases.Control group received routine nursing care model,observer Group in routine nursing care on the basis of,the positive psychological nursing intervention,8 weeks of continuous nursing intervention.Using the Hamilton depression rating scale (HAMD) and the Montreal cognitive assessment scale (MoCA),to compare the results of the two groups before and after the intervention.Result:Nursing intervention after 8 weeks,The observation groupfor other reasons lost 4 patients with access,the control group lost 5 cases.HAMD scored in the two groups was significantly lower than before the intervention(P<0.05),observation groups declined significantly higher than the control group,the two groups, significant differences(P<0.05)MoCA in the observation group scores and language, naming, delayed recall 5 dimension scores were significantly higher than before the intervention,compare with care before, there are significant differences(P<0.05).Compared with the control group,MoCA scores and language, naming, delayed recall 3 dimension scores significantly higher than the control group,there are significant differences(P<0.05).Conclusion:Positive psychology interventions can significantly improve Parkinsons patients with depression symptoms and cognitive impairment, is of positive significance for improving the survival and quality of life.
关键词
【关键词】积极心理干预;帕金森;抑郁;认知功能
KeyWord
【Keywords 】Parkinson;depressed;cognitive function;Positivepsychologicalintervention;
基金项目
页码 1141-1144
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何海玉*,王茜,周健,刘蕾. 帕金森病合并抑郁和认知功能障碍患者应用积极心理护理干预的临床研究 [J]. 国际精神病学杂志. 2016; 43; (6). 1141 - 1144.

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