认知行为干预联合健康教育对急性脑梗死偏瘫患者睡眠质量、负性情绪与遵医行为的影响  

Impact of Cognitive Behavioral Therapy Combined with Health Education on Sleep Quality,Negative Emotions and Adherence in Acute Cerebral Infarction Patients Complicated with Hemiplegia

作　　者：许银环 吴华 吴碧云 XU Yinhuan;WU Hua;WU Biyun(West China Xiamen Hospital of Sichuan University/Center for Neuropsychiatric Diseases of West China Medical Xiamen Research Institute of Sichuan University,Xiamen 361000,China;Army 73rd Group Hospital,Xiamen 361000,China)

机构地区：[1]四川大学华西厦门医院/四川大学华西医学厦门研究院神经精神疾病中心,厦门361000 [2]陆军第七十三集团军医院,厦门361000

出　　处：《世界睡眠医学杂志》2024年第10期2265-2268,共4页World Journal of Sleep Medicine

摘　　要：目的:分析认知行为干预(CBT)联合健康教育在急性脑梗死偏瘫患者中的应用效果。方法:选取2023年4月至2023年7月四川大学华西厦门医院收治的急性脑梗死偏瘫患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例。对照组接受常规护理,观察组同步接受CBT与基于跨理论模型的健康教育。比较2组干预后焦虑与抑郁情绪、睡眠障碍、康复训练依从性。结果:观察组干预后汉密尔顿抑郁量表评分(HAMD)、汉密尔顿焦虑量表(HAMA)与阿森斯失眠量表(AIS)评分均低于对照组,差异有统计学意义(P<0.05);观察组干预后睡眠障碍发生率低于对照组,康复训练完全依从率较高,差异有统计学意义(P<0.05)。结论:CBT联合健康教育可改善急性脑梗死偏瘫患者睡眠质量、情绪障碍,提升康复训练依从性。Objective:To analyze the impact of cognitive behavioral therapy(CBT)combined with health education in acute cerebral infarction patients complicated with hemiplegia.Methods:A total of 80 patients with hemiplegia caused by acute cerebral infarction admitted to West China Xiamen Hospital of Sichuan University from April 2023 to July 2023 were randomly divided into study group(n=40)and control group(n=40).The control group received routine nursing,while the study group received CBT and trans-theoretical model based health education simultaneously.Anxiety and depression,sleep disorder,and exercise adherence after intervention were compared.Anxiety was evaluated by HAMA,depression was evaluated by HAMD,and sleep quality was evaluated by AIS.Results:After intervention,HAMD,HAMA and AIS scores of study group were lower than those of control group(P<0.05),the incidence of sleep disorder was lower,and the rate of complete compliance to exercise was significantly higher(P<0.05).Conclusion:CBT combined with health education can improve sleep quality and emotional disorder in acute cerebral infarction patients complicated with hemiplegia,and enhance exercise adherence.

关 键 词：急性脑梗死 偏瘫 认知行为干预 健康教育 睡眠障碍 负性情绪 依从性 遵医行为 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R193[医药卫生—临床医学]