认知行为干预对急性脑血管疾病患者早期康复效果评估

目的评估认知行为干预对脑血管疾病患者早期康复的效果。方法将127例脑血管疾病患者,随机分为对照组65例和干预组62例。在综合治疗的同时,对照组给予神经内科常规护理。干预组除常规护理外,给予认知行为干预,通过一系列的心理干预和行为矫正改变患者不正确的认知,达到消除负性情绪和不良行为,分别于患者入组第1天、第1周和出院前,采用改良巴氏指数评定表(MBI)、功能综合评定表(FCA)、生活质量测定量表简表(QOL-BREF)、美国国立卫生院神经功能缺损评分(NIHSS)和ZUNG焦虑自我评价表(SAS)进行评分,比较两组的康复效果。结果两组与入组第1天比较,MBI、FCA、QOL-BREF和NIHSS评分明显改善(P<0.01,P<0.05);干预组出院时MBI评分较对照组改善明显(P<0.05),FCA评分在入组第1周和出院时较对照组显著改善(P<0.05),NIHSS评分较对照组效果显著(P<0.05);与对照组比较,干预组焦虑得到缓解(P<0.05),QOL-BREF评分显著高于对照组(P<0.05)。结论认知行为干预有助于脑血管疾病患者焦虑情绪的改善,显著提高患者生活质量,能有效提高临床治疗效果。

The Evaluation of early rehabilitation effect on cognitive behavioral intervention with acute cerebral vascular disease in patients

Objective To evaluate the effect of early rehabilitation on cognitive behavioral intervention with acute cerebral vascular disease in patients. Methods 127 cases of cerebrovascular disease patients were divided into two groups randomly Group I （intervention group ）and Group 11 （control group）, hospital comprehensive treatment while the control group received routine care of the Department of Neurology, in addition to routine care, the intervention group given cognitive behavioral intervention, through a series of psychological the patients incorrect cognitive intervention and behavior modification to change, to eliminate the negative emotions and bad behavior, respectively, respectively patients enrolled in group the first day, the first week and before discharge, using a modified Barthel index rating scale （ MBI ）, the functional comprehensive assessment scale （ FCA ）, quality of life WHOQOL-BREF （ QOL-BREF ）, the United States National Institutes ofhealth neural function defect score （ NIHSS ）, and ZUNG anxiety self evaluation table （ SAG ） score, compared two groups of patients rehabilitation effect. Results Compared with the enrolled patients of the first day in two groups ,MBI, FCA, QOL--BREF, and NIHSS score were significantly improved （ P〈0. 01 ,P〈0. 05）; patients in the intervention group compared with the control group, MBI score was improved significantly（P〈0. 05） , the enrolled patients of one week and at discharge, FCA score was significantly improved （P〈0. 05）, NIHSS score was lower than control group （P〈0. 05） ; compared with the control group, patients anxiety relief in intervention group （P〈0. 05）, QOL-BREF score was significantly higher than that of control group （P〈0. 05）. Conclusion cognitive behavior intervention is helpful to the cerebral vascular disease patients anxety mood improvement, improve patients＇ quality of life, can effectively improve the clinical treatment effect.