摘要
目的:探究改良森田疗法结合心理弹性支持对帕金森患者心理及睡眠状况的影响。方法:选取2017年1月-2019年3月阳春市人民医院神经内科接诊的90例帕金森病患者作为研究对象。按照随机数字表法将其分为观察组(n=45)和对照组(n=45)。对照组给予常规护理干预,不予以任何形式的心理治疗,观察组在此基础上给予改良森田疗法及相应的心理弹性支持。对两组心理健康状况、睡眠情况进行分析、比较。结果:两组干预前UPDRS、HAMD、HAMA量表评分、PSQI各维度评分以及CD-RISC量表各维度评分比较,差异均无统计学意义(P>0.05)。两组干预后UPDRS、HAMD、HAMA量表PSQI各维度评分均明显低于干预前,且观察组均低于对照组,差异均有统计学意义(P<0.05)。两组干预后CD-RISC量表各维度评分均明显高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。结论:改良森田疗法结合心理弹性支持能有效改善帕金森病患者的抑郁、焦虑症状,并使其心理弹性和睡眠质量得到显著提升,值得在临床上积极推广。
Objective:To research the effect of modified Morita therapy combined with psychoelastic support on the psychological and sleep status of Parkinson’s patients.Method:A total of 90 patients with Parkinson’s disease admitted to the department of neurology of Yangchun People’s Hospital from January 2017 to March 2019 were selected as subjects.According to the random number table method,they were divided into the observation group(n=45)and the control group(n=45).The patients in the control group were given routine nursing intervention without any form of psychological treatment,the patients in the observation group were treated with modified Morita therapy combined with psychoelastic support on the basis of the above.The mental health and sleep status in two groups were analyzed and compared.Result:There were no significant differences in the UPDRS,HAMD,HAMA scales,PSQI scores,and CD-RISC scores between two groups before intervention(P>0.05).After intervention,the scores of UPDRS,HAMD and PSQI of HAMA scale in two groups were significantly lower than those of before intervention,the observation group were lower than those of the control group(P<0.05).After the intervention,the scores of CD-RISC in two groups were significantly higher than those of before intervention,and the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Modified Morita therapy combined with psychological support can effectively improve the depression and anxiety symptoms of Parkinson’s disease patients,and significantly improve their psychological and sleep quality,which is worthy of active promotion in clinical practice.
作者
莫怀飘
杨梅芳
罗仕珍
MO Huaipiao;YANG Meifang;LUO Shizhen(The People’s Hospital of Yangchun City,Yangchun 529600,China;不详)
出处
《中国医学创新》
CAS
2020年第21期78-81,共4页
Medical Innovation of China
基金
阳江市医疗卫生类科技计划项目(社发[2017]71)。
关键词
改良森田疗法
心理弹性支持
帕金森病
心理状况
睡眠质量
Modified Morita therapy
Psychoelastic support
Parkinson’s disease
Psychological status
Sleep quality
