网络认知行为疗法干预方案在脑卒中后焦虑抑郁共病病人中的应用  

Application of internet-based cognitive behavior therapy intervention program in patients with post-stroke comorbid anxiety and depression

作　　者：李伟丽[1] 仇丽霞[1] 孟效红 赵媛[1] 李育玲[1,2] LI Weili;QIU Lixia;MENG Xiaohong;ZHAO Yuan;LI Yuling(Shanxi Medical University,Shanxi 030001 China;First Hospital of Shanxi Medical University)

机构地区：[1]山西医科大学,山西030001 [2]山西医科大学第一医院

出　　处：《护理研究》2025年第6期986-991,共6页Chinese Nursing Research

基　　金：山西省研究生创新项目,编号:2023KY412;2021-2023年山西医科大学第一医院院基金项目,编号:09638。

摘　　要：目的:构建脑卒中后焦虑抑郁共病病人网络认知行为疗法(ICBT)干预方案并评价其应用效果。方法:选取2023年1月—7月山西省某三级甲等医院收治的脑卒中后焦虑抑郁共病病人为研究对象,通过SPSS软件生成随机数字将病人分为对照组和试验组,每组36例。给予对照组病人知识讲解、基础护理、居家康复指导、微信群咨询和电话随访,给予试验组病人ICBT干预方案。比较两组病人抑郁、焦虑、生活质量。结果:脑卒中后焦虑抑郁共病病人的焦虑得分、抑郁得分均存在时间、组间、交互效应,且干预后1个月和干预后2个月试验组得分与对照组比较差异均有统计学意义(P<0.05);脑卒中后焦虑抑郁共病病人生活质量中的生理机能、总体健康、社会功能维度得分均存在时间、组间、交互效应,且干预后1个月和干预后2个月试验组得分与对照组比较差异均有统计学意义(P<0.05)。结论:应用脑卒中后焦虑抑郁共病病人ICBT干预方案有利于改善病人焦虑、抑郁情绪及生活质量。Objective:To construct internet-based cognitive behavior therapy(ICBT)intervention program in patients with post-stroke comorbid anxiety and depression,and evaluate its application effect.Methods:Patients with post-stroke comorbid anxiety and depression admitted to a tertiary grade A hospital in Shanxi province were selected as the research subjects from January to July 2023,and the patients were divided into control group and experimental group with 36 cases in each group by generating random numbers through SPSS software.The control group was given knowledge explanation,basic nursing,home rehabilitation guidance,WeChat group consultation and telephone follow-up,while the experimental group was given an ICBT intervention program.Depression,anxiety and quality of life were compared between the 2 groups.Results:There were time,intergroup and interaction effects on anxiety scores and depression scores of patients with post-stroke comorbid anxiety and depression,and there were statistically significant differences between the score of experimental group and the control group after 1 month and 2 months after intervention(P<0.05).There were time,intergroup and interaction effects on the scores of physiological function,general health and social function in quality of life of in patients with post-stroke comorbid anxiety and depression,and there were statistically significant differences between the score of experimental group and the control group after 1 month and 2 months after intervention(P<0.05).Conclusions:The application of ICBT intervention program in patients with post-stroke comorbid anxiety and depression is beneficial to improve the anxiety,depression and quality of life of patients.

关 键 词：网络认知行为疗法 脑卒中 焦虑 抑郁 生活质量 护理 

分 类 号：R473.74[医药卫生—护理学]