暗红光照疗法对老年卒中后抑郁患者病耻感和社会适应能力的影响

Effects of dim red light therapy on the stigma and psychosocial adaptation ability of elderly patients with post-stroke depression

目的探讨暗红光照疗法在老年卒中后抑郁患者中的应用效果。方法将江苏省人民医院收治的86例老年卒中后抑郁患者随机分为干预组和对照组,每组43例。对照组采用常规护理,干预组在此基础上实施为期6周的暗红光照疗法。治疗前后采用脑卒中患者病耻感量表、心理社会适应问卷评价效果。结果治疗6周后,干预组脑卒中患者病耻感量表中躯体障碍、自我感受维度得分及总分低于对照组,干预组心理社会适应问卷中焦虑/抑郁、自尊和自我接纳、态度、归属感、自我控制和自我效能感等维度得分及总分高于对照组,差异均有统计学意义(P<0.05)。结论暗红光照疗法可有效降低PSD患者病耻感,提高其社会适应能力。

Objective To investigate the effects of dim red light therapy on the stigma and psychosocial adaptation ability of elderly patients with post-stroke depression(PSD).Methods A total of 83 elderly patients with PSD who were treated in our hospital were enrolled in the study,who were randomly divided into observation group and control group,with 43 cases in each group.The patients in control group were treated by routine nursing intervention,however,those in observation group,on the basis of control group,were treated by dim red light therapy for 6 weeks.The intervention effects were assessed by Stroke Stigma Scale and Psychosociail Adaptation Questionnaire,respectively.Results After 6-wwek treatment,the physical disorder,self-perception demension scores and total stigma scores in observation group were significantly lower than those in control group,however,the scores of anxious/depression,self-esteem and self-acceptance,attitude,sense of belonging,self-control and self-efficacy demension and the total scores of psychosocial adaptation in observation group were significantly higher than those in control group(P<0.05).Conclusion The dim red light therapy can effectively decrease the stigma degree of patients with PSD and improve the psychosocial adaptation ability of patients.