《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (12): 1471-1474.

• 国际会议报道 • 上一篇    下一篇

认知行为多层次干预护理对卒中后抑郁的效果

范晓禹 1，张桂玉 2   

  1. 1.唐山市开滦总医院林西医院，河北唐山市 063103；2.唐山市工人医院感染病科，河北唐山市 063000。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-12-25 发布日期:2015-12-25

Effect of Cognitive Behavioral Multi-level Intervention on Post-stroke Depression

FAN Xiao-yu1, ZHANG Gui-yu2   

  1. 1. Linxi Hospital, Tangshan Kailuan General Hospital, Tangshan, Hebei 063103, China; 2. Department of Infectious Diseases, Tangshan Gongren Hospital, Tangshan, Hebei 063000, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-12-25 Online:2015-12-25

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摘要： 目的 探讨认知行为多层次干预护理在消除卒中后抑郁中的应用效果。方法 2013年 2月~2015年 2月本院收治的卒中后抑郁患者160例分为对照组(n=80)和观察组(n=80)。两组均给予常规治疗和护理，观察组在此基础上采用认知行为多层次干预护理，从患者个人心理层次、行为层次及患者周围连带关系层次实施综合认知行为干预。比较两组护理 1个月前后抑郁自评量表(SDS)评分，血清白介素(IL)-1β、IL-6及血清肿瘤坏死因子-α(TNF-α)的水平。随访6个月，记录患者抑郁发生的情况。结果 护理1个月后，观察组患者的 SDS评分低于对照组(t=2.705, P<0.05)，血清 IL-1β (t=8.182)、IL-6 (t=2.883)及 TNF-α (t=2.604)水平低于对照组(P<0.05)。通过6个月的随访，观察组抑郁发生率低于对照组( χ 2=6.144, P<0.05)。结论 认知行为多层次干预护理可有效预防卒中后抑郁。

关键词: 脑卒中, 抑郁, 认知行为疗法, 多层次干预, 护理

Abstract: Objective To investigate the effect of cognitive behavioral multi-level intervention on post-stroke depression. Methods 160 patients with post-stroke depression in our hospital from February 2013 to February 2015 were divided into control group (n=80) and observation group (n=80). Both groups received conventional medical treatment and nursing care. The observation group received cognitive behavioral multi-level intervention nursing care, including personal psychology, behaviour and joint relationship. Self-rating Depression Scale (SDS) was assessed, and the serum level of interleukin (IL)-1β, IL-6 and tumor necrosis factor-α (TNF-α) were mesured before and after treatment. Results After treatment, the score of SDS was lower (t=2.705, P<0.05), and the levels of IL-1β (t=8.182), IL-6 (t=2.883), TNF-α (t=2.604) were lower in the observation group than in the control group (P<0.05). The incidence of depression was also lower in the observation group than in the control group ( χ 2=6.144, P<0.05) after 6 months follow-up. Conclusion Cognitive behavioral multi-level intervention could effectively prevent post-stroke depression.

Key words: stroke, depression, cognitive behavioral therapy, multi-level intervention, nursing