基于应激系统理论的心理干预结合理性情绪疗法对脑卒中后抑郁症患者创伤性应激障碍及心理复原力的影响

Effects of psychological intervention based on stress system theory combined with rational-emotive therapy on traumatic stress disorder and psychological resilience in patients with post-stroke depression

目的探讨基于应激系统理论的心理干预结合理性情绪疗法对脑卒中后抑郁症患者创伤性应激障碍及心理复原力的影响。方法择取2019年7月至2021年8月我院收治的100例脑卒中后抑郁症患者为研究对象,根据护理方案不同将其分为对照组和观察组,各50例。对照组给予理性情绪疗法干预,观察组在对照组基础上加施基于应激系统理论的心理干预。比较两组的干预效果。结果干预后,观察组的创伤后应激障碍平民版量表(PCL-C)各维度评分均低于对照组(P<0.05)。干预后,观察组的Connor-Davidson心理韧性量表(CD-RISC)各维度评分均高于对照组(P<0.05)。干预后,观察组的汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分均低于对照组(P<0.05)。结论基于应激系统理论的心理干预结合理性情绪疗法能提高脑卒中后抑郁症患者的心理复原力,转变心理状态,改善创伤性应激障碍,值得推广。

Objective To explore the effects of psychological intervention based on stress system theory combined with rational-emotive therapy on traumatic stress disorder and psychological resilience in patients with post-stroke depression.Methods A total of 100 patients with post-stroke depression admitted in our hospital from July 2019 to August 2021 were selected as the research objects.According to different nursing schemes,the patients were divided into control group and observation group,with 50 cases in each group.The control group was given rational-emotive therapy intervention,and the observation group was given psychological intervention based on stress system theory on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of the Posttraumatic Stress Checklist-Civilian Version(PCL-C)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of Connor-Davidson Resilience Scale(CD-RISC)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)in the observation group were lower than those in the control group(P<0.05).Conclusion Psychological intervention based on stress system theory combined with rational-emotive therapy can improve the psychological resilience of patients with post-stroke depression,change their psychological state,and improve traumatic stress disorder,which is worthy of promotion.