视觉艺术疗法在卒中后抑郁患者中的应用  

Application of visual art therapy in patients with post-stroke depression

作　　者：梁燕 丁莉[2] LIANG Yan;DING Li

机构地区：[1]南阳医学高等专科学校第一附属医院感染性疾病科,河南南阳473000 [2]南阳医学高等专科学校第一附属医院肿瘤内科二病区,河南南阳473000

出　　处：《中国疗养医学》2024年第1期33-37,共5页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨视觉艺术疗法对卒中后抑郁患者认知康复、不良情绪及知觉压力的影响。方法选取2021年8月至2022年8月南阳医学高等专科学校第一附属医院收治的134例卒中后抑郁患者为研究对象。按照随机数字表分为对照组67例和观察组67例。对照组实施常规护理。观察组在对照组的基础上实施视觉艺术疗法干预,干预时间为2个月。分别在干预前后,采用蒙特利尔认知评估量表(MoCA)、医院焦虑抑郁量表(HADS)、中文版知觉压力量表(CPSS)评价两组的认知功能、不良情绪、知觉压力。结果干预后对照组MoCA总分(19.69±1.55)分低于观察组(23.97±1.67)分,差异有统计学意义(P<0.05);对照组焦虑亚量表评分、抑郁亚量表评分分别为(14.94±1.67)分、(14.53±1.52)分均高于观察组(12.20±1.43)分、(12.01±1.46)分,差异有统计学意义(P<0.05);对照组CPSS评分(40.80±4.75)分明显高于观察组(31.88±3.94)分,差异具有统计学意义(P<0.05)。结论视觉艺术疗法能充分满足卒中后抑郁患者的身心需求和社会交往诉求,有助于促进其认知功能康复,减轻焦虑、抑郁情绪,降低知觉压力水平,实现自我愉悦。Objective To explore the effects of of visual art therapy on cognitive rehabilitation,adverse mood and perceived stress in patients with post-stroke depression.Methods 134 patients with post-stroke depression admitted to The First Affiliated Hospital of Nanyang Medical College from August 2021 to August 2022 were selected as the research subjects.According to the random number table,they were divided into 67 cases in the control group and 67 cases in the observation group.The control group received routine care.The observation group received visual art therapy intervention on the basis of the control group,with an intervention time of 2 months.Before and after the intervention,the Montreal cognitive assessment scale,hospital anxiety and depression scale,and Chinese perceived stress sale were used to evaluate the cognitive function,adverse emotions,and perceived stress of the two groups.Results After intervention,the total score of MoCA in the control group was(19.69±1.55),lower than(23.97±1.67)in the observation group,with statistically significant differences(P<0.05);The scores of the anxiety subscale and depression subscale in the control group were(14.94±1.67)and(14.53±1.52),higher than(12.20±1.43)and(12.01±1.46)in the observation group,and the difference was statistically significant(P<0.05);The CPSS score of the control group(40.80±4.75)was significantly higher than(31.88±3.94)of the observation group,and the difference was statistically significant(P<0.05).Conclusion Visual art therapy can fully meet the physical and mental needs and social communication demands of post-stroke depression patients,help promote their cognitive function recovery,reduce anxiety and depression emotions,reduce perceived stress levels,and achieve self pleasure.

关 键 词：卒中后抑郁 视觉艺术疗法 认知 知觉压力 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R749.4[医药卫生—临床医学]