摘要
目的探讨团体认知行为配合心理干预对卒中后吞咽困难患者负性情绪、睡眠质量的影响。方法选取我院2020年6月至2021年6月收治的80例卒中后吞咽困难患者作为研究对象,随机分为对照组(40例)、研究组(40例)。两组均给予常规康复训练及治疗,对照组给予常规护理,研究组在此基础上给予团体认知行为配合心理干预。比较两组负性情绪[汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、吞咽功能(SSA)、自我效能(GSES)、睡眠质量(PSQI)、应对方式(SCSQ)及生活能力(MBI)。结果干预后,研究组HAMA、HAMD评分低于对照组(P<0.05);干预后,研究组睡眠效率高于对照组,睡眠时间、睡眠质量、入眠时间、睡眠障碍、日间功能障碍评分及总分低于对照组(P<0.05);干预后,研究组消极应对评分低于对照组,积极应对评分高于对照组(P<0.05);干预后,研究组SSA评分低于对照组,GSES、MBI评分高于对照组(P<0.05)。结论团体认知行为配合心理干预能消除卒中后吞咽困难患者负性情绪,改善其睡眠质量及吞咽功能,使其选择正确应对疾病的方式,有助于提高患者自我效能及生活能力。
Objective To study the effect of group cognitive behavior combined with psychological intervention on patients with dysphagia after stroke.Methods A total of 80 patients with dysphagia after stroke admitted to our hospital from June 2020 to June 2021 were selected as the study subjects,and randomly divided into control group(40 cases)and study group(40 cases).Both groups were given routine rehabilitation training and treatment,the control group was given routine nursing,and the research group was given group cognitive behavior coordination psychological intervention on this basis.The two groups were compared for negative emotion[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],swallowing function(SSA),self-efficacy(GSES),sleep quality(PSQI),coping style(SCSQ)and living ability(MBI).Results The HAMA and HAMD scores in the study group were lower than those in the control group(P<0.05).After intervention,the sleep efficiency of the study group was higher than that of the control group,and the scores of sleep time,sleep quality,sleep onset time,sleep disturbance,daytime dysfunction and total score were lower than those of the control group(P<0.05).After intervention,the negative coping score of the study group was lower than that of the control group,while the positive coping score was higher than that of the control group(P<0.05).After intervention,SSA score of study group was lower than control group,GSES and MBI score were higher than control group(P<0.05).Conclusion Group cognitive behavior and psychological intervention can eliminate negative emotion,improve sleep quality and swallowing function of patients with dysphagia after stroke,make them choose the right way to cope with the disease,and help to improve self-efficacy and life ability of patients.
作者
潘春玲
翁小娥
PAN Chunling;WENG Xiao'e(Zhongshan Hospital Xiamen University,Xiamen 361000,China)
出处
《中国医药指南》
2022年第23期37-41,共5页
Guide of China Medicine
关键词
卒中
团体认知行为
吞咽困难
心理干预
睡眠质量
Stroke
Group cognitive behavior
Difficulty swallowing
Psychological intervention
Quality of sleep
