天津护理

• 论著 • 上一篇    下一篇

理情行为疗法在脑卒中伴心理障碍患者中应用的效果观察

 刘淑娟    赵菲    张娟   

  1.  
    (中山大学附属第八医院,广东   深圳 518000)
  • 收稿日期:2018-03-06 修回日期:2018-10-22 出版日期:2019-04-28 发布日期:2019-05-17

 
Intervention effect of rational emotive behavior therapy on stroke patients with psychological disorder

 

LIU Shujuan, ZHAO Fei, ZHANG Juan
  

  1.  
    (The Eighth Affiliated Hospital of Zhongshan University, Shenzhen Guangdong 518000)
  • Received:2018-03-06 Revised:2018-10-22 Online:2019-04-28 Published:2019-05-17

摘要:  目的:探讨理情疗法在脑卒中伴心理障碍患者中应用的效果。方法:选取接受治疗的脑卒中伴心理障碍患者50例,随机分为观察组(n=25)和对照组(n=25),对照组实施常规的药物治疗及护理干预,观察组在常规治疗基础上,实施每周3次,每次30 min的理情行为治疗干预,观察比较两组患者的康复训练依从性,焦虑、抑郁负性心理评分以及生活质量评分。结果:观察组患者的康复训练依从性高于对照组,患者的焦虑、抑郁负性心理评分均低于对照组,患者的生活质量评分则高于对照组, 差异有统计学意义(P<0.05)。结论:理情行为疗法能提高脑卒中患者的康复训练依从性,改善患者的焦虑、抑郁心理症状,有助于改善患者的认知功能,提高患者的生活质量。

关键词: 理情行为疗法, 脑卒中, 心理障碍

Abstract: Objective: To explore the effect of nursing intervention of rational emotive behavior therapy (REBT) in patients with mental disorder. Methods: 50 stroke patients with psychological disorders were randomly divided into observation group (n=25) and control group (n=25), control group received drug therapy and routine nursing, the observation group received 3 times a week for 30min of REBT. The compliance of rehabilitation training, anxiety, depression and negative psychological score and life quality score were observed and compared between the two groups. Results: The compliance of rehabilitation training in the observation group was higher than that in the control group. The scores of anxiety and depression in the observation group were all lower than those in the control group, and the quality of life scores of the patients in the observation group were significantly higher than those in the control group (P<0.05). Conclusion: The REBT can improve the patient’s compliance of rehabilitation training, anxiety and depression symptoms, cognitive function, the quality of life. It is worthy of popularizing and applying in the treatment of patients with cerebral stroke.

Key words: Rational emotive behavior therapy, Cerebral apoplexy, Mental disorder