早期认知行为干预对颅脑损伤病人心理的影响

Influence of early cognitive behavior intervention on psychology of patients with traumatic brain injury

[目的]探讨早期认知行为干预对颅脑损伤病人心理的影响。[方法]选取神经外科颅脑损伤病人110例按随机数字表分为干预组和对照组各55例,干预组在常规心理护理方法的基础上实施早期认知行为干预,对照组给予常规心理护理。在入组时及干预1周后应用意外创伤病人早期心理他评量表进行评估,出院3个月及6个月随访病人并填写创伤后应激障碍检查量表平民版(PCL-C)。[结果]干预1周后,干预组早期心理他评量表焦虑、抑郁、总分均低于对照组,差异有统计学意义(P<0.05);出院3个月及6个月时干预组PCL-C评分低于对照组,组间比较差异有统计学意义(P<0.05)。[结论]早期认知行为干预能有效改善颅脑损伤病人的心理应激水平,缓解焦虑、抑郁心理,改善创伤后应激障碍综合征症状。

Objective：To probe into the influence of early cognitive behavior intervention on psychological state of the patients with traumatic brain injury.Methods：A total of 110 cases of craniocerebral injury patients in department of neurosurgery were randomly divided into intervention group and control group based on random number table,55 cases in each.The patients in control group received routine psychological care.In addition,the patients in intervention group received early cognitive behavior interventions.The patients were assessed by using Early Psychological Scale of Trauma Patients before intervention and one week after intervention.The patients received the followed up at 3months and 6months after discharge and filled the questionnaire of PTSD（PCL-C）.Results：At one week after intervention,the anxiety,depression and total score of early psychological assessment scale in intervention group were lower than that in control group,and the difference was statistically significant（P〈0.05）;at 3months and 6months,the PCL-C score of patients in intervention group was lower than that of patients in control group,the difference between groups was statistically significant（P〈0.05）.Conclusion：Early cognitive behavioral intervention can effectively improve the level of psychological stress in patients with traumatic brain injury,relieve anxiety and depression,improve the symptoms of post-traumatic stress disorder syndrome,PTSD.