中医情志疗法联合知信行干预在脑梗死恢复期患者中的应用

Application of Traditional Chinese Medicine Emotional Therapy Combined with Knowledge-Attitude-Practice Mode Intervention in Patients with Cerebral Infarction in the Recovery Period

目的探讨中医情志疗法联合知信行干预在脑梗死恢复期患者中的应用效果。方法本研究为前瞻性随机对照试验,纳入河南省中西医结合医院2020年2月至2022年2月86例脑梗死患者,根据随机数字表法分为对照组(n=43)和研究组(n=43)。两组均接受常规护理,对照组在此基础上实施知信行干预,研究组在对照组基础上应用中医情志疗法,所有患者均随访6个月。分别于干预前、患者出院6个月返院复查时采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估患者心理状态,遵医行为量表(健康生活行为、并发症预防、系统治疗、功能锻炼)评估患者遵医行为,卒中专用生活质量量表(SS-QOL)评估患者生活质量。结果干预前,两组患者SAS、SDS、健康生活行为、并发症预防、系统治疗、功能锻炼、遵医行为量表总分、SS-QOL评分比较,差异无统计学意义(P>0.05);干预后,两组患者SAS、SDS评分均较干预前降低,且研究组患者低于对照组(P<0.05);两组患者健康生活行为、并发症预防、系统治疗、功能锻炼、遵医行为量表总分、SS-QOL评分均较干预前提高,且研究组患者高于对照组(P<0.05)。结论中医情志疗法联合知信行干预能减轻脑梗死恢复期患者焦虑抑郁情绪,提高遵医行为,改善生活质量。

Objective To explore the application effect of traditional Chinese medicine emotional therapy combined with knowledge-attitude-practice mode intervention in patients with cerebral infarction in the recovery period.Methods This study was a prospective randomized controlled trial,involving 86 patients with cerebral infarction at Henan Integrative Medicine Hospital from February 2020 to February 2022.They were divided into a control group(n=43)and a study group(n=43)according to the random number table method.Both groups received routine care,while the control group received knowledge-attitude-practice mode interventions.The research group received traditional Chinese medicine emotional therapy on the basis of the control group,and all patients were followed up for 6 months.Before intervention and at 6 months after discharge for follow-up,the patient’s psychological status was evaluated using the self rating anxiety scale(SAS)and self rating depression scale(SDS).The compliance behavior scale(healthy life behavior,complication prevention,systematic treatment,functional exercise)was used to assess the patient’s compliance behavior.The stroke specific quality of life scale(SS-QOL)was used to assess the patient’s quality of life.Results Before intervention,there was no statistically significant difference between the two groups in SAS,SDS,healthy lifestyle behavior,complication prevention,systematic treatment,functional exercise,total score of compliance behavior scale and SS-QOL score(P>0.05).After intervention,the SAS and SDS scores of the two groups of patients were reduced compared to before intervention,and the study group patients were lower than the control group(P<0.05).The healthy lifestyle behavior,complication prevention,systematic treatment,functional exercise,total score of the compliance behavior scale and SS-QOL score of the two groups of patients were improved compared to before intervention,and the study group patients were higher than the control group(P<0.05).Conclusion The combination of traditional Chinese medicine emotional therapy and knowledge-attitude-practice mode intervention can alleviate anxiety and depression in patients with cerebral infarction during the recovery period,improve compliance behavior,and improve quality of life.