快乐感知训练结合情绪释放疗法在卒中后抑郁患者中的应用  

Application of happiness perception training combined with emotional release therapy in patients with post-stroke depression

作　　者：汪秀勤 程燕 宋明香 赵启媛 张久静 姜婷婷 汪超群 WANG Xiuqin;CHENG Yan;SONG Mingxiang;ZHAO Qiyuan;ZHANG Jiujing;JIANG Tingting;WANG Chaoqun(Third Ward of Department of Neurology,Liu'an Hospital of Anhui Medical University,Liu'an,Anhui province,237000,China)

机构地区：[1]安徽医科大学附属六安医院神经内科三病区,安徽省六安市237000 [2]安徽医科大学附属六安医院神经内科西院区病区,安徽省六安市237000 [3]安徽医科大学附属六安医院心血管内科一病区,安徽省六安市237000

出　　处：《中国护理管理》2024年第11期1732-1737,共6页Chinese Nursing Management

基　　金：安徽省临床医学研究转化专项项目(202204295107020006)。

摘　　要：目的:评价快乐感知训练结合情绪释放疗法在卒中后抑郁患者中的应用效果,为该类患者心理康复工作提供参考。方法:采用便利抽样法,抽取2023年1月—5月在安徽省某三级甲等医院神经内科住院的74例卒中后抑郁患者设为对照组,将2023年6月—10月住院的65例卒中后抑郁患者设为观察组,对照组实施常规护理,观察组在对照组基础上实施快乐感知训练结合情绪释放疗法。分别于干预前、干预4周后、干预8周后及干预3个月后采用心理弹性量表、认知情绪调节量表评价患者心理弹性及认知情绪调节能力;采用汉密尔顿抑郁量表评价患者负性情绪;采用Barthel指数评价患者日常生活自理能力。结果:观察组干预8周、3个月后抑郁评分低于对照组(P<0.05)。观察组干预8周、3个月后的乐观、自强得分及心理弹性量表总分高于对照组(P<0.05)。观察组干预3个月后自我责难得分低于对照组,积极重新关注得分高于对照组(P<0.05)。观察组干预3个月后Barthel指数高于对照组(P<0.05)。结论:快乐感知训练结合情绪释放疗法可减轻卒中后抑郁患者抑郁程度,提高其心理弹性及认知情绪调节能力,提高日常生活能力。Objective:To evaluate the effect happiness perception training combined with emotional release therapy in patients with post-stroke depression,so as to provide reference for the rehabilitation of these patients.Methods:Using convenience sampling method,74 patients with post-stroke depression hospitalized in neurology department of a tertiary grade A hospital in Anhui province from January to May 2023 were recruited as the control group,and 65 patients with post-stroke depression hospitalized from June to October 2023 were included in observation group for prospective study.The control group received routine nursing care,while the observation group received a happiness perception combined with emotional release therapy on the basis of the routine nursing care.The psychological resilience and cognitive emotion regulation ability of patients were evaluated using the CD-RISC and CERQ before intervention and at 4 weeks,8 weeks and 3 months after intervention.Negative emotion was evaluated by HAMD,and the self-care ability of daily life was assessed by Bathel Index(BI).Results:After 8 weeks and 3 months of intervention,the scores of optimism and selfreliance and total score of CD-RISC in observation group were higher than those in control group(P<0.05).The HAMD scores after 8 weeks and 3 months of intervention were lower in observation group than those in control group(P<0.05).The self-blame score of CERQ in observation group after 3 months of intervention was lower while the positive refocus score was higher compared to control group(P<0.05).After 3 months of intervention,the BI score in observation group was higher than that in control group(P<0.05).Conclusion:Happiness perception training combined with emotional release therapy can relieve the depression degree,enhance the psychological resilience and cognitive emotion regulation ability,and promote the daily living ability in patients with post-stroke depression.

关 键 词：快乐感知训练 情绪释放疗法 卒中后抑郁 心理弹性 认知情绪调节能力 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]