首页|理性情绪疗法联合中医情志干预对血管性痴呆患者焦虑抑郁症状的影响

理性情绪疗法联合中医情志干预对血管性痴呆患者焦虑抑郁症状的影响

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目的 观察理性情绪疗法联合中医情志干预对血管性痴呆患者焦虑抑郁症状的影响.方法 将 80 例血管性痴呆患者按照随机数字表法分为2 组,对照组40 例予常规基础干预,观察组40 例在对照组干预基础上采用理性情绪疗法联合中医情志干预,2 组均干预 4 周.比较 2 组干预前后简易智能状态检查表(MMSE)、日常生活能力量表(ADL)、老年痴呆患者生活质量量表(QOL-AD)评分、汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分变化;比较2 组干预满意度.结果 2 组干预后MMSE评分均较本组干预前升高(P<0.05),干预后观察组高于对照组(P<0.05).2 组干预后ADL评分均较本组干预前降低(P<0.05),QOL-AD评分均较本组干预前升高(P<0.05);干预后观察组ADL评分低于对照组(P<0.05),QOL-AD评分高于对照组(P<0.05).2 组干预后HAMD评分、HAMA评分均较本组干预前降低(P<0.05),干预后观察组HAMD评分、HAMA评分均低于对照组(P<0.05).观察组各项满意度均高于对照组(P<0.05).结论 理性情绪疗法联合中医情志干预,能有效改善血管性痴呆患者心理状态和认知功能,提高其日常生活能力、生活质量和干预满意度.
clinical efficacy of rational emotional therapy combined with traditional Chinese medicine emotional intervention in im-proving anxiety depression in patients with vascular dementia
Objective To observe the clinical efficacy of rational emotional therapy combined with traditional Chinese medicine(TCM)emotional intervention in improving anxiety depression in patients with vascular dementia(VD).Methods Eighty VD patients were randomly assigned into the observation group(n =40)and the control group(n =40).All patients were managed by routine intervention,and those in the observation group additionally received rational emotional therapy combined with TCM emotional intervention.A 4-week intervention was performed to compare Mini-Mental State Examination(MMSE),Activities of Daily Living Scale(ADL),Quality of Life-Alzheimer's Disease Scale(QOL-AD),Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),intervention satisfaction.Results After intervention,MMSE scores in the both groups were significantly increased(P<0.05),which increased notably in the observation group compared with the control group(P<0.05).Significantly decreased ADL scores,and increased QOL-AD scores were detected in the both groups(all P<0.05),and the observation group was superior to the control group for ADL and QOL-AD scores(all P<0.05).HAMD and HAMA scores in the both groups were significantly decreased(P<0.05),which were significantly lower in the observation group than in the control group(P<0.05).The overall satisfaction rate in the observation group was better than that in the con-trol group(P<0.05).Conclusion For VD patients,rational emotional therapy combined with TCM emotional intervention can effectively improve psychological state and cognitive function,improve ADL,quality of life and intervention satisfaction.

Vascular dementiaAnxietyRational emotional therapyDepressionTraditional Chinese medicine emotional interventionCognitive function

韩陨、张晓佳、张晓红、杜双霞、苑艳尊

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河北省保定市第二中心医院,河北 保定 072750

河北省保定市第二中心医院护理部,河北 保定 072750

河北省保定市第二中心医院医务科,河北 保定 072750

河北省保定市第二中心医院神经内科,河北 保定 072750

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痴呆,血管性 焦虑 抑郁 情绪调节 情志疗法

河北省保定市科技计划

2041ZF026

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(3)
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