积极情绪体验对脑卒中患者抑郁及神经功能的影响

Influence of positive emotional experience on depression and neurological function among stroke sufferers

目的观察积极情绪体验对脑卒中患者抑郁及神经功能恢复的影响。方法采用随机数字表法将90例脑卒中后抑郁(PSD)患者分为研究组及对照组。两组患者均给予神经内科常规治疗,研究组在此基础上应用积极情绪体验进行心理干预。入组时及治疗6周后分别采用神经功能缺损评分(NFDS)、抑郁自评量表(SDS)及Bathel指数(BI)评分对两组神经功能、患者抑郁症状及日常生活活动(ADL)能力进行评定,同时应用特质应对方式问卷(TCSQ)评估应对方式。结果治疗前,研究组与对照组SDS、NFDS、BI评分及TCSQ的积极应对、消极应对评分比较,差异均无统计学意义(P>0.05)。经6周治疗后,两组SDS、NFDS评分及TCSQ的消极应对评分低于治疗前,TCSQ的积极应对评分及BI评分高于治疗前,差异有高度统计学意义(P<0.01)。与对照组改善幅度比较,研究组SDS、NFDS、BI评分及TCSQ的积极应对、消极应对评分改善显著,差异有统计学意义(P<0.05)。结论在常规治疗基础上联合应用积极情绪体验,可以改善PSD患者抑郁症状,促其受损神经功能恢复及ADL能力提高。

Objective To observe the influence of positive emotional experience on depression and neurological function among stroke sufferers.Methods 90 sufferers with post-stroke depression（PSD） were divided into research group and control group by random number table method.Both groups were given conventional neurology therapy, while the research group were given additional positive emotional experience for mental intervention.At admission and after six weeks of treatment, NFDS, SDS and Bathel Index（Bl） were adopted to assess the neurological function, de- pression symptoms,and activities of daily living（ADL） of the two groups.Meanwhile,trait coping style questionnaire （TCSQ） was adopted to assess coping style.Results Before the treatment, scores of SDS, NFDS, BI and TCSQ positive coping style and negative coping style in both groups showed differences of no statistical significance（P〉 0.05）. After six months of treatment, scores of SDS, NFDS, and TCSQ negative coping style in both groups were lower than those before the treatment, while scores of TCSQ positive coping style and BI were higher than those before the treat- ment, with differences of high statistical significance（P〈0.01）.Compared with the improvement range in the control group, scores of SDS, NFDS, BI and TCSQ positive coping style and negative coping style in the research group obvi- ously improved, with differences of statistical signiflcance（P〈0.05）.Conclusion Positive emotional experience on the basis of conventional therapy can improve depression status of post-stroke depression（PSD） sufferers,help with recovery of injured neurological function and enhance activities of daily living（ADL）.