摘要
目的:分析整体身心训练对高血压脑出血(HICH)手术患者心理状态及社会适应的影响。方法:以2023年1-12月收治的158例HICH手术患者为研究对象,随机数字表法将其分为常规组和整体组各79例。常规组实施常规干预,整体组实施整体身心训练干预,两组均干预3个月。比较干预前后两组HICH患者自我负担感[自我感受负担量表(SPBS)]、心理状态[老年抑郁量表(GDS)、Mishel疾病不确定感量表(MUSIA)]、社会适应状况[疾病心理社会适应问卷(PAIS-SR)]、自护能力[自我护理能力量表(ESCA)]、神经功能[美国国立卫生研究院卒中量表(NIHSS)]、生活能力[Barthel指数(BI)]。结果:干预3个月后,两组患者SPBS、GDS、MUSIA、PAISSR、NIHSS评分降低,两组间比较,整体组更低(t=4.295,3.209,2.726,8.714,2.705;P<0.05);BI、ESCA评分升高,两组间比较,整体组更高(t=2.714,7.569;P<0.05)。结论:整体身心训练干预HICH患者有利于恢复其神经功能和生活能力,并提高其自护能力和社会适应能力,改善患者心理状态。
Objective:To analyze the influence of integrative body-mind training on psychological status and social adaptation in patients receiving surgery for hypertensive intracerebral hemorrhage(HICH).Methods:Totally 158 patients with HICH surgery admitted from January 2023 to December 2023 were set as study subjects,and were divided into conventional group and integrative group by adopting the random number table method,with 79 cases in each group.The conventional group carried out conventional intervention,whereas the integrative group was given integrative body-mind training intervention.Both groups were intervened for 3 months.The self-burden[self-perceived burden scale(SPBS)],psychological status[geriatric depression scale(GDS),Mishel uncertainty in illness scale(MUSIA)],social adaptation status[psychosocial adjustment to illness scale self-report(PAIS-SR)],self-care ability[exercise of self-care agency scale(ESCA)],neurological function[national institutes of health stroke scale(NIHSS)]and living ability[Barthel index(BI)]were compared between groups before and after intervention.Results:After 3 months of intervention,the scores of SPBS,GDS,MUSIA,PAIS-SR and NIHSS in the two groups were decreased,and the scores were lower in the integrative group(t=4.295,3.209,2.726,8.714,2.705;P<0.05).The scores of BI and ESCA were enhanced,and the scores in the integrative group were higher(t=2.714,7.569;P<0.05).Conclusion:Integrative body-mind training intervention for HICH patients is beneficial to restoring the neurological function and living ability,enhancing the self-care ability and social adaptability,and improving the psychological status.
作者
孟广丽
MENG Guangli(Department of Neurosurgery,Shangqiu FirstPeople's Hospital,Shangqiu 476100,China)
出处
《中国健康心理学杂志》
2025年第10期1523-1528,共6页
China Journal of Health Psychology
基金
河南省自然科学基金项目(编号:222300420457)。
关键词
整体身心训练
高血压脑出血
心理状态
社会适应
Integrative body-mind training
Hypertensive intracerebral hemorrhage
Psychological status
Social adaptation
