摘要
目的观察基于跨理论模型(TTM)的认知行为干预对脑卒中后抑郁症(PSD)患者神经功能、负面情绪及生活质量的影响。方法选取我院收治的PSD患者106例作为研究对象,按照随机数字表法分为研究组和对照组各53例,其中对照组采用常规干预,研究组采用TTM的认知行为干预。观察2组神经功能、认知功能、负面情绪、生活质量情况。结果干预后2组NIHSS评分显著低于干预前(P<0.05),且研究组显著低于对照组(P<0.05),2组MMSE评分显著高于干预前(P<0.05),且研究组显著高于对照组(P<0.05);干预后2组SAS、SDS评分显著低于干预前(P<0.05),且研究组显著低于对照组(P<0.05);干预后2组生活质量评分显著高于干预前(P<0.05),且研究组显著高于对照组(P<0.05)。结论基于TTM的认知行为干预可有效改善PSD患者神经功能和负面情绪,提高生活质量。
Objective To observe the influence of cognitive behavioral intervention based on cross theoretical model（TTM）on neurological function,negative emotions and quality of life of patients with post-stroke depression（PSD）. Methods 106 cases of patients with PSD treated in our hospital were selected as the study objects,and were divided into study group and control group randomly,53 cases in each group. The control group were given routine intervention,and the study group were given TTM cognitive behavioral intervention. Neurological function,cognitive function,negative emotion and quality of life were observed in the two groups. Results After intervention,NIHSS score was significantly lower than that before intervention（P〈0.05）,and that in the study group was significantly lower than that in the control group（P〈0.05）. MMSE score was significantly higher than that before treatment in the two groups（P〈0.05）,and that in the study group was significantly higher than that in the control group（P〈0.05）. After intervention,SAS and SDS scores were significantly lower than those before intervention in the two groups（P〈0.05）,and those in the study group were significantly lower than those in the control group（P〈0.05）. After intervention,quality of life of the two groups were significantly higher than those before intervention（P〈0.05）,and those in the study group were significantly higher than those of the control group（P〈0.05）. Conclusion Cognitive behavioral intervention based on TTM can effectively improve neurological function and negative emotions of patients with PSD,and improve quality of life.
作者
张敏
刘艺红
杨燕
孙树乾
赵玉国
ZHANG Min;LIU Yihong;YANG Yah(Lishui Nanjing District People＇s Hospital,Nanjing 211200,China)
出处
《国际精神病学杂志》
2018年第5期934-937,共4页
Journal Of International Psychiatry
关键词
跨理论模型
认知行为
脑卒中
抑郁症
负面情绪
神经功能
Cross theoretical model
Cognitive behavior
Stroke
Depression
Negative emotion
Neurological function
