基于自我调节下的疾病感知护理结合团体认知疗法对脑卒中后抑郁患者社会支持及疾病感知压力的影响  

Effects of disease perception nursing based on self-regulation combined with group cognitive therapy on social support and disease perception stress in patients with post stroke depression

作　　者：丁珂 宦迎春[1] 于明[1] DING Ke;HUAN Yingchun;YU Ming(Department of Neurology,Affiliated Hospital of Jiangsu University,Zhenjiang 212008,China)

机构地区：[1]江苏大学附属医院神经内科,江苏镇江212008

出　　处：《医药高职教育与现代护理》2024年第3期233-237,共5页Medical Higher Vocational Education and Modern Nursing

基　　金：江苏省卫生健康委2022年度医学科研立项项目(ZD2022062);镇江“金山英才”高层次领军人才培养计划(第六期“169工程”)培养对象科研项目。

摘　　要：目的 探讨基于自我调节下的疾病感知护理结合团体认知疗法对脑卒中后抑郁患者社会支持及疾病感知压力的影响。方法 选取2019年10月至2022年10月江苏大学附属医院收治的脑卒中后抑郁患者80例,以随机数字表法分为2组,对照组(常规护理)和观察组(基于自我调节下的疾病感知护理结合团体认知疗法)各40例,比较分析两组干预后情况。结果 干预后,观察组抑郁自评量表评分、卒中量表评分均低于对照组,简易智能精神状态量表评分高于对照组(P<0.05);干预后,观察组社会支持评定量表各维度评分较对照组高(P<0.05);干预后观察组简易疾病感知问卷各维度评分高于对照组(P<0.05);观察组护理满意度较对照组高(P<0.05)。结论 基于自我调节下的疾病感知护理结合团体认知疗法可缓解脑卒中后抑郁患者抑郁心理状态,促进神经功能、认知功能改善,也能提高患者社会支持水平,减轻疾病感知压力,提高护理满意度,值得推广。Objective To explore the effects of disease perception nursing based on self-regulation combined with group cognitive therapy on social support and disease perception stress in patients from the Affiliated Hospital of Jiangsu University with post stroke depression.Methods A total of 80 patients from the Affiliated Hospital of Jiangsu University with post stroke depression admitted to our department from October 2019 to October 2022 were randomly divided into two groups,the control group(routine nursing) and the observation group(disease perception nursing based on self-regulation combined with group cognitive therapy),with 40 patients in each group.The intervention outcomes of the two groups were compared.Results After the intervention,the SDS scores and NIHSS scores of the paticents of the observation group were lower than those of the control group,while the MMSE scores were higher than those of the ones of the control group(P<0.05).The SSRS scores in various dimensions of the observation group were higher than those of the ones of the control group(P<0.05);The BIPQ scores in various dimensions of the patients of the observation group were higher than those of the control group(P<0.05);The nursing satisfaction was higher in the observation group than that of the control group(P<0.05).Conclusions Disease perception nursing based on self-regulation combined with group cognitive therapy could alleviate the psychological state of depression in patients with post stroke depression,promote the improvement of neurological and cognitive functions,increase social support levels,reduce perceived disease stress,and improve nursing satisfaction.It is worth of promoting.

关 键 词：自我调节 疾病感知护理 团队认知疗法 脑卒中 抑郁 社会支持 

分 类 号：R473.74[医药卫生—护理学]