心理干预在脑膜瘤切除术后康复中的应用研究

Study on psychological intervention in the rehabilitation after meningioma resection

目的探讨心理干预在脑膜瘤切除术后康复中的应用效果。方法 80例脑膜瘤切除术患者,应用随机数字表法分为观察组与对照组,每组40例。对照组术后应用常规康复措施,观察组在常规康复措施基础上增加心理干预。比较两组患者治疗中断情况及干预前后汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分。结果观察组患者治疗中断率为5.0%,明显低于对照组的20.0%,差异具有统计学意义(P<0.05)。干预前,两组患者HAMD、HAMA评分比较差异无统计学意义(P>0.05);干预后,观察组患者HAMD、HAMA评分分别为(8.1±2.3)、(9.8±3.2)分,明显低于对照组的(13.2±3.1)、(14.1±2.9)分,差异具有统计学意义(P<0.05)。结论脑膜瘤切除术患者康复干预中应用心理干预能减轻患者焦虑、抑郁心理,改善患者心理状态,提高治疗依从性,应用效果显著。

Objective To discuss the effect of psychological intervention in the rehabilitation after meningioma resection. Methods A total of 80 patients with meningioma resection were divided into observation group and control group according to random numerical table, with 40 cases in each group. The control group received routine rehabilitation measures, and the observation group received psychological intervention on the basis of routine rehabilitation measures. The treatment interruption and Hamilton depression scale(HAMD) and Hamilton anxiety scale(HAMA) score before and after the intervention were compared between the two groups. Results The treatment interruption rate of the observation group was 5.0%, which was obviously lower than 20.0% of the control group, and the difference was statistically significant(P<0.05). Before intervention, there was no statistically significant difference in HAMD and HAMA score between the two groups(P>0.05). After intervention, HAMD and HAMA score of the observation group were(8.1±2.3) and(9.8±3.2) points, which were obviously lower than(13.2±3.1) and(14.1±2.9) points of the control group, and the difference was statistically significant(P<0.05). Conclusion The application of psychological intervention in the rehabilitation intervention of patients with meningioma resection can reduce the anxiety and depression of patients, improve the psychological state and treatment compliance of patients.