理情行为疗法在脑卒中伴心理障碍患者中应用的效果观察
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摘要
目的:探讨理情疗法在脑卒中伴心理障碍患者中应用的效果。方法:选取接受治疗的脑卒中伴心理障碍患者50例,随机分为观察组(n=25)和对照组(n=25),对照组实施常规的药物治疗及护理干预,观察组在常规治疗基础上,实施每周3次,每次30 min的理情行为治疗干预,观察比较两组患者的康复训练依从性,焦虑、抑郁负性心理评分以及生活质量评分。结果:观察组患者的康复训练依从性高于对照组,患者的焦虑、抑郁负性心理评分均低于对照组,患者的生活质量评分则高于对照组,差异有统计学意义(P<0.05)。结论:理情行为疗法能提高脑卒中患者的康复训练依从性,改善患者的焦虑、抑郁心理症状,有助于改善患者的认知功能,提高患者的生活质量。
Objective: To explore the effect of nursing intervention of rational emotive behavior therapy(REBT) in patients with mental disorder. Methods: 50 stroke patients with psychological disorders were randomly divided into observation group(n=25) and control group(n=25), control group received drug therapy and routine nursing, the observation group received 3 times a week for 30 min of REBT. The compliance of rehabilitation training, anxiety, depression and negative psychological score and life quality score were observed and compared between the two groups. Results: The compliance of rehabilitation training in the observation group was higher than that in the control group. The scores of anxiety and depression in the observation group were all lower than those in the control group, and the quality of life scores of the patients in the observation group were significantly higher than those in the control group(P <0.05). Conclusion: The REBT can improve the patient's compliance of rehabilitation training, anxiety and depression symptoms, cognitive function, the quality of life. It is worthy of popularizing and applying in the treatment of patients with cerebral stroke.
Objective: To explore the effect of nursing intervention of rational emotive behavior therapy(REBT) in patients with mental disorder. Methods: 50 stroke patients with psychological disorders were randomly divided into observation group(n=25) and control group(n=25), control group received drug therapy and routine nursing, the observation group received 3 times a week for 30 min of REBT. The compliance of rehabilitation training, anxiety, depression and negative psychological score and life quality score were observed and compared between the two groups. Results: The compliance of rehabilitation training in the observation group was higher than that in the control group. The scores of anxiety and depression in the observation group were all lower than those in the control group, and the quality of life scores of the patients in the observation group were significantly higher than those in the control group(P <0.05). Conclusion: The REBT can improve the patient's compliance of rehabilitation training, anxiety and depression symptoms, cognitive function, the quality of life. It is worthy of popularizing and applying in the treatment of patients with cerebral stroke.
引文
[1]张业敏,方克炳,葛伟,等.心理及行为干预对脑卒中后认知功能障碍患者的效果分析[J].国际精神病学杂志,2017,44(2):253-256.
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[8]梁勇,向文杰,张科儒,等.中西医联合治疗老年脑卒中伴精神障碍的临床疗效[J].国际精神病学杂志,2018,45(3):19-20.
[9]周琦,刘威,李明,等.心理治疗对脑卒中患者康复的临床观察[J].昆明医科大学学报,2016,37(9):80-82.
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[11]刘西玲,张粉利,陈丽,等.行为干预联合心理护理对脑卒中患者的影响[J].国际精神病学杂志,2016,43(4):698-700.
[12]朱亚芹,成杰,隋丽丽,等.改良的亲情护理与传统亲情护理对脑卒中偏瘫患者焦虑、抑郁状况疗效的比较[J].重庆医学,2015,44(31):4452-4454.
[13]蒙彩英,王艳丽.延续性护理对脑卒中患者健康行为的影响[J].广东医学,2017,38(4):651-653.
[14]施毅颋,林桦,何雯.脑卒中后情感障碍患者的生存质量及其影响因素分析[J].中国康复,2016,31(5):352-354.
[15]李红艳,李瑜霞,贾晓莹,等.基层脑卒中单元对脑卒中患者的早期干预效果[J].中国老年学杂志,2016,36(18):4486-4488.
[2]韩会,周岩,张晓丽,等.认知行为疗法对脑卒中后患者抑郁及自我管理行为的干预效果[J].山东医药,2015,55(47):36-38.
[3]李鸿远,张志宏,刘波,等.认知行为辅导对脑卒中患者心理、认知及生活质量的影响[J].国际精神病学杂志,2016,43(6):1049-1051.
[4]蒋丽红,李慧杰,杨利芹,等.团体心理治疗对脑卒中早期康复伴焦虑障碍心理干预的效果观察[J].天津护理,2016,24(1):76-77.
[5]王洪娜.连续护理干预对脑卒中患者生活质量的影响[J].天津护理,2016,24(2):144-146.
[6]Borda M B,Cano C,Ruiz C,et al.Relationship between cognitive impairment and instrumental activities of daily living(IADL):sabe bogotá,colombia study[J].Journal of the Neurological Sciences,2015,357(9):e121-e121.
[7]吕敏,魏小利,袁媛,等.脑卒中伴不同程度抑郁患者的神经功能缺损、日常行为能力及认知功能分析[J].广西医科大学学报,2016,33(4):620-622.
[8]梁勇,向文杰,张科儒,等.中西医联合治疗老年脑卒中伴精神障碍的临床疗效[J].国际精神病学杂志,2018,45(3):19-20.
[9]周琦,刘威,李明,等.心理治疗对脑卒中患者康复的临床观察[J].昆明医科大学学报,2016,37(9):80-82.
[10]赵斐燕.延续性护理干预对脑卒中患者康复效果及依从性的影响[J].天津护理,2017,25(6):517-518.
[11]刘西玲,张粉利,陈丽,等.行为干预联合心理护理对脑卒中患者的影响[J].国际精神病学杂志,2016,43(4):698-700.
[12]朱亚芹,成杰,隋丽丽,等.改良的亲情护理与传统亲情护理对脑卒中偏瘫患者焦虑、抑郁状况疗效的比较[J].重庆医学,2015,44(31):4452-4454.
[13]蒙彩英,王艳丽.延续性护理对脑卒中患者健康行为的影响[J].广东医学,2017,38(4):651-653.
[14]施毅颋,林桦,何雯.脑卒中后情感障碍患者的生存质量及其影响因素分析[J].中国康复,2016,31(5):352-354.
[15]李红艳,李瑜霞,贾晓莹,等.基层脑卒中单元对脑卒中患者的早期干预效果[J].中国老年学杂志,2016,36(18):4486-4488.