针刺联合归因训练对缺血性卒中后抑郁患者的疗效及心理弹性的影响  

Efficacy of acupuncture combined with attribution training on patients with post-stroke depression and its influence on psychological resilience

作　　者：申翠 陈国燕[1] 王聪聪[1] 张靖[1] SHEN Cui;CHEN Guoyan;WANG Congcong;ZHANG Jing(Department of Neurology,the Second Hospital of Shijiazhuang,Shijiazhuang,Hebei 050000)

机构地区：[1]河北省石家庄市第二医院神经内科,河北石家庄050000

出　　处：《河北中医》2023年第12期2037-2040,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局2020年度中医药类科研计划课题(编号:2020278)。

摘　　要：目的观察针刺联合归因训练对缺血性卒中后抑郁患者的疗效及心理弹性的影响。方法将93例缺血性卒中后抑郁患者按照随机数字表法分为2组,对照组46例予常规护理干预,观察组47例在对照组干预基础上应用针刺联合归因训练干预。2组均连续干预4周。比较2组干预前后美国国立卫生研究院卒中量表(NIHSS)评分、归因方式问卷(ASQ)评分、心理弹性量表(CD-RISC)评分、汉密尔顿抑郁量表(HAMD)评分变化。结果2组干预后NIHSS评分、HAMD评分均较本组干预前降低(P<0.05),且观察组干预后NIHSS评分、HAMD评分均低于对照组同期(P<0.05)。2组干预后ASQ评分、CD-RISC评分均较本组干预前升高(P<0.05),且观察组干预后ASQ评分、CD-RISC评分均高于对照组同期(P<0.05)。结论针刺联合归因训练能有效改善缺血性卒中后抑郁患者归因评分及心理弹性,降低神经功能缺损及抑郁评分。Objective To observe the efficacy of acupuncture combined with attribution training on patients with post-stroke depression and its influence on psychological resilience.Methods A total of 93 patients with post-stroke depression were randomly assigned into the observation group(n=47)and the control group(n=46).All patients were managed by conventional nursing intervention,and those in the observation group additionally received acupuncture combined with attribution training.A 4-week intervention was performed to compare National Institutes of Health Stroke Scale(NIHSS),Attributional Style Questionnaire(ASQ),Connor-Davidson Resilience scale(CD-RISC),Hamilton Depression Scale(HAMD).Results After intervention,NIHSS and HAMD scores in the both groups were significantly decreased(P<0.05),which decreased notably in the observation group compared with the concurrent control group(P<0.05).ASQ and CD-RISC scores in the both groups were significantly increased(P<0.05),which were significantly higher in the observation group than in the concurrent control group(P<0.05).Conclusion For patients with post-stroke depression,acupuncture combined with attribution training can effectively improve attribution scores and psychological resilience,and reduce neurological deficits and depression scores.

关 键 词：卒中 缺血性 抑郁症 针刺疗法 心理疗法 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R749.42[医药卫生—临床医学] R245.31