摘要
目的:观察认知行为干预对高血压脑出血患者早期康复训练效果的影响。方法:选取2019年2月至2022年2月抚州市临川区第一人民医院收治的60例高血压脑出血患者进行前瞻性研究,根据单双数法将其分为观察组和对照组各30例。对照组实施常规干预,观察组在对照组基础上实施认知行为干预,比较两组干预前后负性情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)]评分、神经功能缺损程度[美国国立卫生研究院院卒中量表(NIHSS)]评分和生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分。结果:干预后,两组SAS、SDS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,两组NIHSS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,两组躯体功能、心理功能、社会功能、物质生活等GQOLI-74评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:认知行为干预可有效提高高血压脑出血患者生命质量评分,降低负性情绪和NIHSS评分,效果优于单纯常规干预。
Objective:To observe effects of cognitive behavioral intervention on early rehabilitation training in patients with hypertensive cerebral hemorrhage.Methods:A prospective study was conducted on 60 patients with hypertensive cerebral hemorrhage admitted to the first people’s hospital of Linchuan district of Fuzhou city from February 2019 to February 2022.According to the odd-even number method,they were divided into observation group and control group,30 cases in each group.The control group was given routine intervention,while the observation group was given the cognitive behavioral intervention on the basis of that of the control group.The scores of negative emotions[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],the degree of neurological deficit[National Institutes of Health stroke scale(NIHSS)],and the quality of life[general quality of life inventory-74(GQOLI-74)]score were compared between the two groups before and after the intervention.Results:After the intervention,the scores of SAS and SDS in the two groups were lower than those before the intervention,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the NIHSS scores of the two groups were lower than those before the intervention,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,after the intervention,the GQOLI-74 scores of physical function,psychological function,social function and material life in the two groups were higher than those before the intervention,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The cognitive behavioral intervention can effectively improve the quality of life scores of the patients with hypertensive cerebral hemorrhage,and reduce the negative emotion scores and the NIHSS scores.Moreover,it is superior to single routine intervention.
作者
周建琴
王志丽
王智红
许婷
管辉琴
易锦华
ZHOU Jianqin;WANG Zhili;WANG Zhihong;XU Ting;GUAN Huiqin;YI Jinhua(Department of Hyperbaric Oxygen of the First People’s Hospital of Linchuan District,Fuzhou 344100 Jiangxi,China;Fuzhou Institute of Medical Sciences,Fuzhou 344100 Jiangxi,China)
出处
《中国民康医学》
2024年第9期156-158,162,共4页
Medical Journal of Chinese People’s Health
基金
抚州市社会发展指导性科技计划项目(抚科社字【2022】5号52)。
关键词
高血压脑出血
认知行为干预
生命质量
神经功能缺损程度
负性情绪
Hypertensive cerebral hemorrhage
Cognitive behavioral intervention
Quality of life
Degree of neurological deficit
Negative emotion
