摘要
目的：探讨脑出血康复期患者行认知行为为主的护理干预对焦虑情绪的影响。方法随机选择2013年5月～2014年5月于本院诊治的脑出血患者110例，按完全双盲法随机分成两组，对照组55例患者予以常规护理，研究组55例患者在对照组基础上给予认知行为为主的护理干预，观察并比较两组患者护理前后SAS、HAMA、SDS、HAMD、ADL评分以及血清中MIF和BDNF指标改善情况。结果两组患者护理后SAS、HAMA、SDS、HAMD及ADL评分均较护理前有不同程度改善，均具有统计学意义（P＜0.05， P＜0.01），护理后组间比较，SAS、HAMA、SDS、HAMD及ADL评分改善情况优于对照组，均具有统计学意义（P＜0.05）；同时两组患者护理后血清中MIF和BDNF指标较护理前有不同程度改善，具有统计学意义（P＜0.05，P＜0.01），护理后组间比较，研究组血清中MIF和BDNF指标改善情况分别为（41.20±1.25）ng/L、（61.28±4.68）ng/L与对照组（51.26±5.47）ng/L、（50.26±9.88）ng/L比较，差异具有统计学意义（P＜0.05）。结论脑出血康复期患者行认知行为为主的护理干预对焦虑情绪具有积极缓解作用，同时可改善患者抑郁情况和血清中MIF和BDNF指标。
Objective To study the effect of major nursing intervention of cognitive behavior on anxiety in patients with cerebral hemorrhage in recovery period. Methods 110 patients with cerebral hemorrhage, who were diagnosed and treated in our hospital from May 2013 to May 2014, were randomly selected and divided into two groups according to complete double-blind method, while 55 cases in control group who were treated with routine nursing and 55 cases in study group who were treated major nursing intervention of cognitive behavior based on control group. To observe and compare the scores of SAS, HAMA, SDS, HAMD, and ADL, the improvement of MIF and BDNF in serum pre and post nursing between the two groups. Results The scores of SAS, HAMA, SDS, HAMD, and ADL of the two groups after nursing had improved in different degree than which before nursing, the differences were statically significant （P〈0.05, P〈0.01）, while the improvement of which after nursing in study group was better than which in control group, the differences were statically significant（P 〈 0.05）. The indexes of MIF and BDNF in serum of the two groups after nursing had improved in different degree than which before nursing, the differences were statically significant （P 〈 0.05,P 〈 0.01）, while which were （41.20±1.25）ng/L and （61.28±4.68）ng/L in study group and （51.26±5.47）ng/L and （50.26±9.88）ng/L after nursing, the differences were statically significant（P 〈 0.05）. Conclusion Major nursing intervention of cognitive behavior on anxiety in patients with cerebral hemorrhage in recovery period has positive mitigative effect, could improve both patients’depression and the indexes of MIF and BDNF in serum.
出处
《中国医药科学》
2015年第6期101-104,共4页
China Medicine And Pharmacy
关键词
脑出血
康复期
认知行为
护理干预
焦虑
影响
Cerebral hemorrhage
Recovery period
Cognitive behavior
Nursing intervention
Anxiety
Effect
