焦点解决短程心理治疗对脑卒中后抑郁患者认知功能及生活质量的影响  

Effect of focus resolution short-term psychotherapy on cognitive function and quality of life of patients with post-stroke depression

作　　者：申敏[1] 徐艳丽[1] 贾爱兰[2] SHEN Min;XU Yanli;JIA Ailan(Internal Medicine-Neurology,Anyang Third People's Hospital,Anyang455000,China)

机构地区：[1]河南省安阳市第三人民医院神经内科,455000 [2]新乡医学院第一附属医院神经内科

出　　处：《中国健康心理学杂志》2021年第10期1491-1496,共6页China Journal of Health Psychology

基　　金：河南省卫生健康委医学科技攻关计划联合共建项目(编号:LHGJ20190578)。

摘　　要：目的:探讨焦点解决短程心理治疗(solution-focused brief therapy,SFBT)对脑卒中后抑郁患者认知功能及生活质量的影响。方法:选取2019年7月-2020年6月在某院进行治疗的脑卒中后抑郁患者120例,随机分为对照组(60例)和观察组(60例)。对照组给与抗抑郁和脑卒中常规干预治疗,观察组在对照组基础之上给予SFBT,采用焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、认知功能评估量表(mini-mental state examination,MMSE)、自我感受负担量表(self-perceived burden,SPBS)、生活质量评定量表(quality of life inventory-74,QOLI-74)、Herth希望量表(herth hope index,HHI)分别对两组患者干预前后焦虑程度、抑郁程度、认知功能、自我感受负担、生活质量、希望水平进行评估。结果:干预4周后,观察组SAS、SDS评分均明显低于对照组(t=-3.061,-2.710;P<0.05);干预4周后,观察组MMSE评分明显高于对照组且SPBS评分明显低于对照组(t=2.335,-2.013;P<0.05);干预4周后,观察组躯体功能、社会功能、心理功能及物质功能各维度评分均明显高于对照组(t=2.625,2.211,4.159,4.168;P<0.05);干预4周后,观察组采取积极行动的态度、对现实和未来的态度、与他人保持亲密关系各维度评分均明显高于对照组(t=2.930,3.979,2.135;P<0.05)。结论:SFBT可以排解脑卒中后抑郁患者负面情绪、改善认知功能、减轻自我感受负担、提高生活质量和希望水平。Objective:To investigate the effect of solution-focused brief therapy(SFBT)on cognitive function and quality of life in patients with post-stroke depression.Methods:A total of 120patients with post-stroke depression treated in our hospital from July 2019to June 2020were selected and randomly divided into control group(60cases)and observation group(60cases).The control group received antidepressant and stroke routine intervention therapy.The observation group was given SFBT on the basis of the control group,and the anxiety,depression,cognitive function,self-perception burden,quality of life and hope level were evaluated by self-rating anxiety scale(SAS),selfrating depression scale(SDS),mini-mental state examination(MMSE),self-perceived burden(SPBS),quality of life inventory-74(QOLI-74)and Herth hope index(HHI).Results:After 4weeks of intervention,SAS and SDS scores in the observation group were significantly lower than those in the control group(t=-3.061,-2.710;P<0.05).After 4weeks of intervention,the MMSE score of the observation group was significantly higher than that of the control group and the SPBS score was significantly lower than that of the control group(t=2.335,-2.013;P<0.05).After 4weeks of intervention,the scores of physical function,social function,psychological function and material function in the observation group were significantly higher than those in the control group(t=2.625,2.211,4.159,4.168;P<0.05);After 4weeks of intervention,the scores of positive action attitude,attitude towards reality and future,and maintaining intimate relationship with others in the observation group were significantly higher than those in the control group(t=2.930,3.979,2.135;P<0.05).Conclusion:SFBT can relieve negative emotions,improve cognitive function,reduce self-feeling burden,and improve quality of life and hope level of patients with post-stroke depression.

关 键 词：脑卒中 抑郁 认知功能 焦点解决短程心理治疗 生活质量 

分 类 号：R749.92[医药卫生—神经病学与精神病学]