目的:探究认知行为疗法结合眼动脱敏再加工对颅脑创伤伴面部软组织挫伤患者心理状态及生活质量的影响.方法:选择2019年1月-2021年12月笔者医院收治的86例颅脑创伤合并面部组织挫伤的患者为研究对象,按随机数字表法分为对照组和观察组,各43例.对照组患者给予常规护理干预,观察组在对照组的基础上给予认知行为疗法(Cognitive behavior therapy,CBT)联合眼动脱敏再加工(Eye movement desensitization and reprocessing,EMDR)干预.比较两组干预前后自尊量表(Self-esteem scale,SES)、焦虑自评量表(Self-rating anxiety scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)、创伤后应激障碍自评量表(The PTSD Cheeklist-CivilianVersion,PCL-C)、世界卫生组织生存质量量表(WHO Quality of Life,WHOQOL)评分.结果:干预前,两组SES评分比较差异无统计学意义(P＞0.05);干预后,观察组SES评分高于对照组,SAS、SDS评分低于对照组,PCL-C评分低于对照组,WHOQOL评分高于对照组,差异均有统计学意义(P＜0.05).结论:认知行为疗法结合眼动脱敏再加工对颅脑创伤伴面部组织挫伤患者的心理状态和生活质量具有积极影响.
Effects of Cognitive Behavioral Therapy Combined with Eye Movement Desensitization and Reprocessing on Psychological Status and Quality of Life of Patients with Craniocerebral Trauma with Facial Tissue Contusion
Objective To explore the effects of cognitive behavioral therapy combined with oculomotor desensitization and reprocessing on psychological status and quality of life of patients with craniocerebral trauma with facial tissue contusion.Methods A total of 86 patients with craniocerebral trauma combined with facial tissue contusion admitted to the author's hospital from January 2019 to December 2021 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 43 cases in each group.Control group received routine nursing intervention.The observation group was given cognitive behavior therapy(CBT)combined with eye movement desensitization and reprocessing(EMDR)on the basis of the control group.The self-esteem scale(SES),self-rating anxiety scale(SAS),self-rating depression scale(SDS),post-traumatic stress disorder(PTSD),the PTSD cheeklist-civilianversion(PCL-C),WHO quality of life scale(WHOQOL)score before and after the intervention were compared between the two groups.Results Before intervention,there was no significant difference in SES scores between the two groups(P＞0.05).After intervention,SES score of observation group was higher than control group,SAS,SDS score was lower than control group,PCL-C score was lower than control group,WHOQOL score was higher,the differences were statistically significant(P＜0.05).Conclusion Cognitive behavioral therapy combined with eye movement desensitization and reprocessing has positive effects on mental state and quality of life of patients with craniocerebral trauma and facial tissue contusion.
cognitive behavioreye movement desensitization and reprocessingcraniocerebral traumafacial tissue contusionpsychological statusquality of life
万方数据
维普
