Objective:To investigate the clinical efficacy of acupuncture combined with emotional intervention in patients with post-stroke depression(PSD).Methods:A total of 100 patients with PSD who met the inclusion criteria w...Objective:To investigate the clinical efficacy of acupuncture combined with emotional intervention in patients with post-stroke depression(PSD).Methods:A total of 100 patients with PSD who met the inclusion criteria were randomly divided into an experimental group(50 cases)and a control group(50 cases)using the random number table method,and the enrollment was in order of admission time.The control group used conventional treatment of oral antidepressant Deanxit tablets(0.5 mg flupenthixol+10 mg melitracen)with the dose appropriately adjusted according to the patient’s medication effect,and modern rehabilitation treatment given selectively according to the patient’s condition.The experimental group had similar treatment as the control group with the addition of traditional Chinese medicine(TCM)acupuncture combined with emotional intervention.The application effects of both groups before and after treatment were verified using the Hamilton Depression Rating Scale(Ham-D),National Institutes of Health Stroke Scale(NIHSS),and Activities of Daily Living(ADL),serotonin levels were measured,and statistical analyses were carried out.Results:The total effective rate of patients in the experimental group was significantly higher than that in the control group,and the Ham-D score,NIHSS score,ADL score,and serotonin level after treatment were significantly higher than those in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:For patients with PSD,adding TCM acupuncture with emotional intervention on top of conventional treatment significantly improve the clinical efficacy and better improve the daily life ability of patients.展开更多
BACKGROUND Stroke has become one of the most serious life-threatening diseases due to its high morbidity,disability,recurrence and mortality rates.AIM To explore the intervention effect of multi-disciplinary treatment...BACKGROUND Stroke has become one of the most serious life-threatening diseases due to its high morbidity,disability,recurrence and mortality rates.AIM To explore the intervention effect of multi-disciplinary treatment(MDT)extended nursing model on negative emotions and quality of life of young patients with post-stroke.METHODS A total of 60 young stroke patients who were hospitalized in the neurology department of our hospital from January 2020 to December 2021 were selected and randomly divided into a control group and an experimental group,with 30 patients in each group.The control group used the conventional care model and the experimental group used the MDT extended nursing model.After the inhospital and 3-mo post-discharge interventions,the differences in negative emotions and quality of life scores between the two groups were evaluated and analyzed at the time of admission,at the time of discharge and after discharge,respectively.RESULTS There are no statistically significant differences in the negative emotions scores between the two groups at admission,while there are statistically significant differences in the negative emotions scores within each group at admission and discharge,at discharge and post-discharge,and at discharge and post-discharge.In addition,the negative emotions scores were all statistically significant at discharge and after discharge when compared between the two groups.There was no statistically significant difference in quality of life scores at the time of admission between the two groups,and the difference between quality of life scores at the time of admission and discharge,at the time of discharge and post-discharge,and at the time of admission and post-discharge for each group of patients was statistically significant.CONCLUSION The MDT extended nursing mode can improve the negative emotion of patients and improve their quality of life.Therefore,it can be applied in future clinical practice and is worthy of promotion.展开更多
目的：探索有人际关系困扰（ID）问题的大学生在人际交往过程中的内隐心理活动特点,为ID者的心理辅导与干预治疗提供理论指导.方法：选取329名大学生,使用人际关系综合诊断量表（IRIDQ）将其分成ID组（IRIDQ得分为15～28分,n=43）、普...目的：探索有人际关系困扰（ID）问题的大学生在人际交往过程中的内隐心理活动特点,为ID者的心理辅导与干预治疗提供理论指导.方法：选取329名大学生,使用人际关系综合诊断量表（IRIDQ）将其分成ID组（IRIDQ得分为15～28分,n=43）、普通组（IRIDQ得分为9～ 12.11分,n=50）和无困扰组（IRIDQ得分为0～3.76分,n=50）.采用GNAT （the Go/No-go Association Task）内隐联想范式和情绪STROOP范式测试三组在人际关系上的内隐认知、内隐情绪、内隐社交意向的反应时、击中率与虚报率（用于计算信号辨别率指数d’）.结果：方差分析显示,在内隐认知、内隐情绪、内隐行为意向的平均反应时上,组别主效应均显著（均P ＜0.001）,进一步多重比较发现,ID组积极内隐认知反应时长于普通组和无困扰组[（594.2±17.0） ms vs.（533.4±15.5） ms vs.（503.3±13.9） ms;均P＜0.01],而消极内隐认知反应时则短于普通组和无困扰组[（554.5±18.5） ms vs.（600.6±28.8） ms vs.（610.4±19.8）ms；均P＜0.01]；ID组内隐情绪反应时长于普通组和无困扰组[积极情绪词（442.1±18.5） ms vs.（415.6±17.5） msvs.（395.7±12.9） ms；消极情绪词（434.3±17.5） ms vs.（390.1±13.1） ms vs.（389.8±15.5） ms;均P＜0.01]; ID组内隐社交意向反应时长于普通组和无困扰组[（593.6±10.7） ms vs.（395.6±12.0） ms vs.（381.2±8.1） ms;均P＜0.01],而社交情境d＇最短[（0.8±0.6）vs.（1.8±0.8）vs.（2.2±0.6）；均P ＜0.05）].结论：人际关系有困扰者存在消极的自我内隐认知和情绪干扰,人际交往行为有退缩意向.展开更多
基金The Shandong Traditional Chinese Medicine Science and Technology Development Program 2020Q132。
文摘Objective:To investigate the clinical efficacy of acupuncture combined with emotional intervention in patients with post-stroke depression(PSD).Methods:A total of 100 patients with PSD who met the inclusion criteria were randomly divided into an experimental group(50 cases)and a control group(50 cases)using the random number table method,and the enrollment was in order of admission time.The control group used conventional treatment of oral antidepressant Deanxit tablets(0.5 mg flupenthixol+10 mg melitracen)with the dose appropriately adjusted according to the patient’s medication effect,and modern rehabilitation treatment given selectively according to the patient’s condition.The experimental group had similar treatment as the control group with the addition of traditional Chinese medicine(TCM)acupuncture combined with emotional intervention.The application effects of both groups before and after treatment were verified using the Hamilton Depression Rating Scale(Ham-D),National Institutes of Health Stroke Scale(NIHSS),and Activities of Daily Living(ADL),serotonin levels were measured,and statistical analyses were carried out.Results:The total effective rate of patients in the experimental group was significantly higher than that in the control group,and the Ham-D score,NIHSS score,ADL score,and serotonin level after treatment were significantly higher than those in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:For patients with PSD,adding TCM acupuncture with emotional intervention on top of conventional treatment significantly improve the clinical efficacy and better improve the daily life ability of patients.
基金Supported by the Joint Guidance Project of Qiqihar Science and Technology Plan in 2020,No.LHYD-202054。
文摘BACKGROUND Stroke has become one of the most serious life-threatening diseases due to its high morbidity,disability,recurrence and mortality rates.AIM To explore the intervention effect of multi-disciplinary treatment(MDT)extended nursing model on negative emotions and quality of life of young patients with post-stroke.METHODS A total of 60 young stroke patients who were hospitalized in the neurology department of our hospital from January 2020 to December 2021 were selected and randomly divided into a control group and an experimental group,with 30 patients in each group.The control group used the conventional care model and the experimental group used the MDT extended nursing model.After the inhospital and 3-mo post-discharge interventions,the differences in negative emotions and quality of life scores between the two groups were evaluated and analyzed at the time of admission,at the time of discharge and after discharge,respectively.RESULTS There are no statistically significant differences in the negative emotions scores between the two groups at admission,while there are statistically significant differences in the negative emotions scores within each group at admission and discharge,at discharge and post-discharge,and at discharge and post-discharge.In addition,the negative emotions scores were all statistically significant at discharge and after discharge when compared between the two groups.There was no statistically significant difference in quality of life scores at the time of admission between the two groups,and the difference between quality of life scores at the time of admission and discharge,at the time of discharge and post-discharge,and at the time of admission and post-discharge for each group of patients was statistically significant.CONCLUSION The MDT extended nursing mode can improve the negative emotion of patients and improve their quality of life.Therefore,it can be applied in future clinical practice and is worthy of promotion.
文摘目的：探索有人际关系困扰（ID）问题的大学生在人际交往过程中的内隐心理活动特点,为ID者的心理辅导与干预治疗提供理论指导.方法：选取329名大学生,使用人际关系综合诊断量表（IRIDQ）将其分成ID组（IRIDQ得分为15～28分,n=43）、普通组（IRIDQ得分为9～ 12.11分,n=50）和无困扰组（IRIDQ得分为0～3.76分,n=50）.采用GNAT （the Go/No-go Association Task）内隐联想范式和情绪STROOP范式测试三组在人际关系上的内隐认知、内隐情绪、内隐社交意向的反应时、击中率与虚报率（用于计算信号辨别率指数d’）.结果：方差分析显示,在内隐认知、内隐情绪、内隐行为意向的平均反应时上,组别主效应均显著（均P ＜0.001）,进一步多重比较发现,ID组积极内隐认知反应时长于普通组和无困扰组[（594.2±17.0） ms vs.（533.4±15.5） ms vs.（503.3±13.9） ms;均P＜0.01],而消极内隐认知反应时则短于普通组和无困扰组[（554.5±18.5） ms vs.（600.6±28.8） ms vs.（610.4±19.8）ms；均P＜0.01]；ID组内隐情绪反应时长于普通组和无困扰组[积极情绪词（442.1±18.5） ms vs.（415.6±17.5） msvs.（395.7±12.9） ms；消极情绪词（434.3±17.5） ms vs.（390.1±13.1） ms vs.（389.8±15.5） ms;均P＜0.01]; ID组内隐社交意向反应时长于普通组和无困扰组[（593.6±10.7） ms vs.（395.6±12.0） ms vs.（381.2±8.1） ms;均P＜0.01],而社交情境d＇最短[（0.8±0.6）vs.（1.8±0.8）vs.（2.2±0.6）；均P ＜0.05）].结论：人际关系有困扰者存在消极的自我内隐认知和情绪干扰,人际交往行为有退缩意向.
