认知行为疗法对脊髓损伤术后患者焦虑、抑郁及睡眠质量的影响  

Effects of cognitive behavioral therapy on anxiety,depression and sleep quality in patients with spinal cord injury

作　　者：王宝辉 曾雪琴 陈慧[1] 李欢[1] 周鹏飞[1] Wang Baohui;Zeng Xueqin;Chen Hui(Pain Ward of Traditional Chinese Medicine Orthopaedics,Rehabilitation Hospital,the Afflialed Honghui Hospial of Xi'an Jiaotong University,Xi'an710054,China)

机构地区：[1]西安交通大学附属红会医院康复医院中医骨科疼痛病区,710054

出　　处：《美中国际创伤杂志》2022年第2期13-16,27,共5页U.S.Chinese International Journal of Traumatology

摘　　要：目的:探讨认知行为疗法(CBT)对脊髓损伤(SCI)术后患者焦虑.抑郁及睡眠质量的影响。方法:采用随机数字表法将同时存在焦忠、抑郁和睡眠障碍的78例SCI术后患者分为对照组和干预组,每组各39例,对照组给予常规治疗,干预组在常规治疗的基础上给予CBT干预。分别于治疗前、治疗后4周、12周采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和匹茨堡睡眠质量指数量表(PSQD)评估患者焦虑.抑郁及睡眠质量,出院时调查患者住院满意度。结果:治疗前,两组间SAS.SDS.PSQI评分差异无统计学意义(P>0.05)。治疗后4周,两组SAS.SDS.PSQI评分较治疗前均降低(P<0.05),组间比较,干预组各项评分下降程度更显著,差异均有统计学意义(P<0.01);治疗后12周,干预组SAS.SDS.PSQI评分较治疗后4周时进--步下降,差异有统计学意义(P<0.05),对照组SAS.SDS.PSQI评分较治疗后4周时差异无统计学意义(P>0.05),组间比较,差异具有统计学意义(P<0.01)。干预组患者的住院满意度为94.11%,,高于对照组(75.76%),差异具有统计学意义(￥=5.584,P<0.05)。结论:CBT能够有效缓解SCI术后患者的焦虑.抑郁情绪,改善睡眠质量,提高住院满意度,且具有较好的近期与远期疗效。Objective:To investigate the ffects of cognitive behavioral therapy(CBT)on anxiety,depression and sleep quality in patients with spinal cord injury(SCI).Methods:A total of 78 patients with anxiety,depression and sleep disorder after SCI were divided into control group and intervention group by random number table method,39 cases in each group.The control group was given routine treatment,and the inter-.vention group was given CBT intervention on the basis of conventional treatment.Before treatment,4 weeks and 12 weeks after treatment,self--rating anxiety scale(SAS),self-rating depression scale(SDS)and Pitts-burgh sleep quality index(PSQI)were used to evaluate the patients'anxiety,depression and sleep quality.A survey of inpatients"satisfaction with hospitalzation was carried out at the time of discharge.Results:There was no statistically significant difference(P>0.05)between the two groups in scores of SAS,SDS and PSQI before treatment.Four weeks after treatment,the SAS,SDS and PSQI scores of the two groups were all de-creased compared with those before treatment(P<0.05).Compared between the groups,the scores of the in-tervention group decreased more signifieantly,and the differences were statistically significant(P<0.01).12 weeks afer treatment,the SAS,SDS and PSQI scores of the intervention group were further decreased com-pared with 4 weeks after treatment,and the difference was statistically signifcant(P<0.05).There was no signifcant difference in SAS,SDS and PSQI scores in the control group compared with 4 weeks after treat-ment(P>0.05),but there was a statistical signifcance in the comparison between the groups(P<0.01).The hospitalization satisfaction of the intervention group was 94.11%,which was higher than that of the control group(75.76%),and the difference was statistically significant (x^(2)=5.584,P<0.05).Conclusion:CBT can ef-fectively relieve anxiety and depression,improve sleep quality,and improve hospitalization satisfaction in pa-tients after SCI,and also has good short-term and long--term ffieac

关 键 词：脊髓损伤 认知行为疗法 焦虑 抑郁 睡眠质量 

分 类 号：R47[医药卫生—护理学]