正念心理干预对缺血性脑卒中后情感障碍患者的影响  

To explore the effect of mindfulness-based psychological intervention on patients with affective disorder after ischemic stroke

作　　者：张瑾[1] 丘鸿凯[1] 刘志华[1] ZHANG Jin;QIU Hongkai;LIU Zhihua(Department of Neurology,Zhongshan Bo'ai Hospital,Zhongshan 528400,China)

机构地区：[1]中山市博爱医院神经内科,广东中山528400

出　　处：《心理月刊》2024年第23期169-171,共3页

基　　金：2021年中山市卫生局项目(2021A020097)

摘　　要：目的 分析正念心理干预对缺血性脑卒中后情感障碍患者的影响。方法 选择中山市博爱医院2021年3月~2023年3月收治的缺血性脑卒中后并发情感障碍患者129例为研究对象,采取随机数字表法分为对照组(n=65)与研究组(n=64)。对照组行常规干预,研究组在对照组基础上行正念心理干预。对比两组神经功能、焦虑抑郁情绪、生活能力及治疗有效率。正态计量资料以t检验,计数资料以x^(2)检验。结果 与干预前相比,干预1个月两组神经功能评分均降低(P<0.05),且研究组低于对照组(P<0.05);与干预前相比,干预1个月两组焦虑、抑郁评分均降低(P<0.05),且研究组低于对照组(P<0.05);与干预前相比,干预1个月两组生活能力评分均提高(P<0.05),且研究组高于对照组(P<0.05)。研究组治疗有效率高于对照组,差异有统计学意义(P<0.05)。结论 对缺血性脑卒中后情感障碍患者在常规治疗基础上增加正念心理干预,能减轻神经功能损伤及抑郁情绪,提高生活能力,治疗效果显著。Objective To analyze the impact of mindfulness psychological intervention on patients with emotional disorders after ischemic stroke.Methods A total of 129 patients with emotional disorders following ischemic stroke admitted to Zhongshan Boai Hospital from March 2021 to March 2023 were selected as research subjects.They were randomly divided into a control group(n=65)and a study group(n=64)using a random number table method.The control group received conventional interventions,while the study group received mindfulness psychological interventions in addition to the standard treatment.Neurological function,anxiety and depression levels,activities of daily living,and treatment effectiveness were compared between the two groups.T test was used for normal measurement data,and x^(2) test was used for count data.Results Compared to before the intervention,both groups showed decreased neurological function scores after 1 month of intervention(P<0.05),with the study group scores lower than those of the control group(P<0.05).After 1 month of intervention,both groups exhibited decreased anxiety and depression scores(P<0.05),with the study group scores lower than the control group(P<0.05).Additionally,both groups showed improved activities of daily living scores after 1 month of intervention(P<0.05),with the study group scores higher than the control group(P<0.05).The treatment effectiveness rate in the study group was higher than that of the control group,with a statistically significant difference(P<0.05).Conclusion Implementing mindfulness psychological intervention on top of conventional treatment for patients with emotional disorders after ischemic stroke can reduce neurological damage and depressive symptoms while enhancing the ability to perform daily activities,resulting in significant treatment effectiveness.

关 键 词：缺血性脑卒中 卒中后抑郁 正念心理干预 情感障碍 

分 类 号：R47[医药卫生—护理学]