认知行为干预对脑卒中患者抑郁障碍及生活质量的影响(1)
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[摘要] 目的 探讨认知行为干预对脑卒中患者抑郁障碍及生活质量的影响。 方法 将92例脑卒中后抑郁患者分为观察组和对照组，对照组采用常规护理+康复训练，观察组在对照组的基础上加强认知行为干预。比较两组汉密尔顿抑郁量表(HAMD)评分和生活质量评分。 结果 观察组HAMD评分改善显著优于对照组(P < 0.05)。观察组各方面生活质量评分显著优于对照组(P < 0.05)。 结论 认知行为干预有助于改善脑卒中抑郁患者的不良心理，提高其应对技巧，促进神经功能的恢复，提高生活质量。
[关键词] 认知行为干预；脑卒中；抑郁；生活质量
[中图分类号] R473.5 [文献标识码] C [文章编号] 1673-7210(2012)07(c)-0135-02
Influence of cognitive behavioral intervention on depression disorder and quality of life in patients with stroke
WANG Yan CHE Yuan CAO Yinghua
Department of Nursing, General Hospital of Beijing Military Region, Beijing 100700, China
[Abstract] Objective To investigate the influence of cognitive behavioral intervention on depression disorder and quality of life in patients with stroke. Methods 92 cases of depression patients after stroke were divided into the observation group and the control group. The control group was given routine nursing and rehabilitation training; the observation group was given cognitive behavioral intervention on the basis of the control group. The Hamilton depression rating scale (HAMD) score and life quality score between the two groups were compared. Results The improvement of HAMD score in the observation group was significantly better than that in the control group (P < 0.05). All aspects of quality of life scores in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion Cognitive behavioral intervention is help to improve adverse psychological in patients with post-stroke depression, it can enhance patients' coping skills, promote the recovery of neural function, improve the quality of life.
[Key words] Cognitive behavior intervention; Stroke; Depression; Quality of life
抑郁是脑卒中后较常见的并发症，发病率为20%～79%[1] ......
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