摘要
目的:探究心理干预对脑卒中后抑郁患者生命质量和睡眠状态的影响,旨在为临床的诊断和治疗提供科学依据。方法:选取2016年9月至2017年9月承德医学院附属医院收治的脑卒中后抑郁患者82例,按照随机数表法将所有患者分为观察组(n=43)和对照组(n=39),其中观察组接受心理干预,对照组接受常规护理,比较2组患者4周后的抑郁水平(HAMD)、睡眠质量(PSQI)以及生命质量(SS-QOL)水平。结果:观察组与对照组比较,抑郁情绪控制良好,观察组患者HAMD评分干预前为(58.63±4.17)分,干预后为(36.97±5.68)分,对照组患者HAMD评分干预前为(57.65±5.04)分,干预后为(42.31±5.43)分;观察组患者的睡眠质量水平优于对照组患者,观察组患者入睡时间(1.01±0.45)分,睡眠质量(1.05±0.47)分,睡眠效率(0.52±0.17)分,总分(2.58±0.77)分,对照组患者入睡时间(1.52±0.47)分,睡眠质量(1.31±0.38)分,睡眠效率(0.71±0.20)分,总分(3.13±0.81)分;观察组患者的SS-QOL评分较高,其中家庭角色评分(3.58±0.34)分,社会角色(3.41±0.27)分,自理能力(3.91±0.31)分,思维(3.73±0.33)分,总分(15.67±1.03)分,对照组患者家庭角色评分(2.91±0.33)分,社会角色(2.87±0.30)分,自理能力(3.02±0.22)分,思维(2.93±0.29)分,总分(12.03±0.96)分。结论:抑郁状态是影响脑卒中患者生命质量水平的重要因素,对患者进行心理干预能够有效改善脑卒中抑郁患者的负面情绪,提高其生命质量水平,临床上值得推广。
Objective： To observe the psychological intervention＇ s effect to the depression after stroke patient＇ s life and sleep quality,aiming to provide a scientific evidence for clinical diagnosis and treatment. Methods： A total of 43 cases were selected form September 2016 to September 2017 in our hospital who were diagnosed as depression after stroke,then divided into observation group and control group according to the random number table method. 43 cases was enrolled in the observation group and treated with psychological intervention,39 cases was enrolled in the control group and treated with usual care. The course of treatment was 4 weeks. The levels of depression（ HAMD）,sleep quality and quality of life（ SS-QOL） were observed. Results： The observation group＇s HAMD score was（ 58. 63 ± 4. 17） before intervention and（ 36. 97 ± 5. 68） after intervention. The control group＇ s HAMD score was（ 57. 65 ± 5. 04） before intervention and（ 42. 31 ± 5. 43） after intervention,that means the depression was well controlled. The observation group had a sleep time of（ 1. 01 ± 0. 45）,a sleep quality of（ 1. 05 ± 0. 47）,a sleep efficiency of（ 0. 52 ± 0. 17）,and a total score of（ 2. 58± 0. 77）. The control group had a sleep time of（ 1. 52 ± 0. 47）,a sleep quality of（ 1. 31 ± 0. 38）,a sleep efficiency of（ 0. 71 ± 0. 20）,and a total score of（ 3. 13 ± 0. 81）,that means the sleep quality of the observation group was better than the control group. Patients in the observation group had higher SS-QOL scores. Among them,the family role score was（ 3. 58 ± 0. 34）,the social role was（ 3. 41 ± 0. 27）,the self-care ability was（ 3. 91 ± 0. 31）,and the thinking was（ 3. 73 ± 0. 33）. Among them,the family role score was（ 3. 58 ± 0. 34）,the social role was（ 3. 41 ± 0. 27）,the selfcare ability was（ 3. 91 ± 0. 31）,the thinking was（ 3. 73 ± 0. 33）,and the total score was（ 15. 67 ± 1. 03）. In the control group,the family role score
作者
卢锴锋
董雅洁
罗娜
李颖
李宝芬
Lu Kaifeng;Dong Yajie;Luo Na;Li Ying;Li Baofen(Department of Psychology,Chengde Medical College,Chengde,06700)
出处
《世界睡眠医学杂志》
2018年第8期974-977,共4页
World Journal of Sleep Medicine
基金
承德医学院校级课题(201542)
关键词
心理干预
脑卒中
抑郁
生命质量
Psychological intervention
Stroke
Depression
Quality of life
