认知行为干预对精神障碍患者行无抽搐电休克治疗的影响  

Influences of cognitive behavior intervention on schizophrenics undergoing MECT

作　　者：夏春芝[1] 马国惠[1] 

机构地区：[1]大理州第二人民医院心理科,云南大理671000

出　　处：《临床心身疾病杂志》2013年第2期139-141,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨认知行为干预对精神障碍患者行无抽搐电休克治疗的影响。方法将424例精神障碍患者随机分为两组，研究组210例，对照组214例，两组均给予无抽搐电休克治疗常规护理，研究组在此基础上进行认知行为干预。于干预前和干预后采用汉密顿焦虑量表评定被试的焦虑症状，于干预前和每次行无抽搐电休克治疗前评定被试的依从性。结果研究组干预后汉密顿焦虑量表评分较干预前显著下降（P〈0.01），对照组与干预前比较差异无显著性（P〉0．05）；同期两组间比较，干预前汉密顿焦虑量表评分差异无显著性（P〉0．05），干预后研究组汉密顿焦虑量表评分显著低于对照组（P〈0.05）。干预后两组无抽搐电休克治疗依从性评分均较干预前显著下降（P〈0.05或0．01）；同期两组间比较，干预前两组差异无显著性（P〉0.05），干预后研究组依从性评分显著低于对照组（P〈0.01）。结论认知行为干预可减轻精神障碍患者行无抽搐电休克治疗前的紧张、焦虑情绪，提高患者对无抽搐电休克治疗的依从性。Objective To explore the influences of cognitive behavior intervention （CBD on schizophrenics undergoing modified electroconvulsive therapy （MECT）. Methods A total of 424 schizophrenics were randomly assigned to research （n=210） and control group （n=214）, MECT routine nursing was given to both groups, and on that basis CBI to research group. Anxious symptoms were assessed with the Hamilton Anxiety Scale （HAMA） before and after intervention, compliance was assessed before intervention and each MECT. Results HAMA score lowered more significantly after intervention compared with pre-inter vention in research group （P〈0. 01） and had no significant difference between pre- and post-intervention in control group （P〉0.05） ; simultaneous group comparisons showed that there was no significant group difference in HAMA score before intervention （P〉0.05）, HAMA score was significantly lower in research than in control group after intervention （P〈0.05）. After intervention MECT compliance scores of both groups lowered more significantly compared with pre-treatment （P〈0. 05 or 0. 01）; simultaneous group comparisons showed that there was no significant group difference in compliance score before intervention （P〉0.05）, compliance score was significantly lower in research than in control group after intervention （P〈0.01）. Conclusion CBI could relieve pre-MECT tension and anxious emotion of schizophrenic and raise patients＇ MECT compliance.

关 键 词：精神障碍 认知行为干预 无抽搐电休克治疗 焦虑情绪 依从性 汉密顿焦虑量表 

分 类 号：R749.054[医药卫生—神经病学与精神病学] R749.055[医药卫生—临床医学]