摘要
目的探讨怀旧疗法对老年脑外伤患者康复期抑郁情绪的疗效。方法方便选取存在抑郁情绪的60例老年脑外伤患者,随机分为对照组、干预组,每组各30例。两组均接受常规的康复训练,干预组在干预早期介入怀旧治疗;分别在6周的干预前后实施汉密尔顿抑郁量表（HAMD）测评与分析。结果组间比较,两组在干预前HAMD得分的差异无统计学意义（t=0.133,P=0.895）,6周后干预组患者HAMD得分显著低于对照组（t=3.517,P=0.001）;组内配对比较,6周后两组患者的HAMD得分均明显降低,干预组（t=5.966,P〈0.001）、对照组（t=2.389,P=0.021）;干预组抑郁检出率为33.33%（9/27）,对照组为64.29%（18/28）,差异有统计学意义（χ~2=4.134,P=0.042）。结论常规康复治疗联合怀旧疗法能更有效地改善老年康复期脑外伤患者的抑郁状况。
Objective To investigate the effect of reminiscence therapy on depression of older convalescent patients with traumatic brain injury. Methods 60 older patients with traumatic brain injury were selected. The subjects were randomly assigned into control group and experimental group,with 30 subjects in each group. Both groups took routine rehabilitation training,while the experimental group received reminiscence therapy in early intervention. Hamilton＇s Depression Scale（ HAMD） was employed before intervention and 6 weeks after intervention for evaluation and analysis. Results In between-group analysis,the diffentce of HAMD score was not statistically significant between the two groups before intervention（ t = 0. 133,P = 0. 895）,score of experimental group was significantly lower than that of control group（ t = 3. 517,P = 0. 001）. In within-group analysis,HAMD scores of subjects in both groups deceased significantly,with experimental group（ t = 5. 966,P〈0. 001）,and control group（ t = 2. 389,P = 0. 021）. The ratio of depression in experimental group was 33. 33%（ 9/27）,while 64. 29%（ 18/28） in control group. The difference was statistically significant（ χ~2= 4. 134,P = 0. 042）. Conclusion Combining routine rehabilitation training with reminiscence therapy is more effective in improving depression of older convalescent patients with traumatic brain injury.
出处
《安徽医科大学学报》
CAS
北大核心
2016年第12期1842-1845,共4页
Acta Universitatis Medicinalis Anhui
基金
江西省科技计划项目(编号:20132BBG70069)
关键词
怀旧疗法
脑外伤
抑郁情绪
心理康复
nostalgic therapy
traumatic brain injury
depression
psychological rehabilitation
