团体积极心理疗法对居家老年卒中后抑郁患者的影响

Effect of Group Positive Psychotherapy on Elderly Patients with Post-stroke Depression at Home

目的分析团体积极心理疗法对居家老年卒中后抑郁患者的影响。方法选取2019年1月至2021年8月河南省第二人民医院60例离院居家老年卒中后抑郁患者,随机分为研究组和常规组,各30例。常规组接受常规居家护理干预,研究组在常规组基础上联合团体积极心理疗法。对比两组简易智能精神状态量表(MMSE)评分、美国国立卫生研究院卒中量表(NIHSS)评分、心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分、赫氏希望量表(HHI)评分、简明健康测量量表-36(SF-36)评分。结果干预后,研究组定向力、语言能力、记忆力、回忆能力、注意力及计算力评分均较常规组高(P<0.05);干预后,研究组NIHSS评分、HAMA评分、HAMD评分均较常规组低(P<0.05);干预后,研究组HHI评分、SF-36评分均较常规组高(P<0.05)。结论团体积极心理疗法可改善居家老年卒中后抑郁患者认知功能、神经功能,减轻焦虑、抑郁等负性情绪,改善面对生活的态度,提高生活质量。

Objective To analyze the effect of group positive psychotherapy on elderly patients with post-stroke depression at home.Methods From January 2019 to August 2021,60 elderly patients with post-stroke depression who were discharged from the Second People’s Hospital of Henan Province hospital at home in the hospital were randomly divided into study group and routine group,with 30 cases in each group.The routine group received routine home nursing intervention,and the study group combined with group positive psychotherapy on the basis of the routine group.The results of mini-mental state examination(MMSE)and National Institutes of Health stroke scale(NIHSS),psychological status[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)]score,Hatch hope index(HHI),36-item short form survey(SF-36)scores were compared between the two groups.Results After intervention,the scores of orientation,language ability,memory,recall ability,attention and calculation ability in the study group were higher than those in the routine group(P<0.05).After intervention,the NIHSS score,HAMA score and HAMD score in the study group were lower than those in the routine group(P<0.05).After the intervention,the HHI score and SF-36 score of the study group were higher than those of the routine group(P<0.05).Conclusion Group positive psychotherapy can improve cognitive function,neurological function,reduce anxiety,depression and other negative emotions of elderly patients with post-stroke depression at home,improve the attitude towards life and improve the quality of life.