摘要
目的探讨积极心理学理念下的心理干预对帕金森患者抑郁及认知功能障碍的影响。方法将60例帕金森病合并抑郁及认知功能障碍的患者随机分为两组,分别实施常规护理、常规护理加积极心理干预,采用汉密尔顿抑郁量表和蒙特利尔认知评估量表,对两组患者抑郁和认知功能障碍情况进行干预前后的差异比较。结果干预8周后,两组患者抑郁评分均显著降低,但观察组较对照组降低更明显(P<0.01);观察组蒙特利尔认知评估量表项目中,除外注意力和抽象能力,总分及其他各维度得分均高于干预前(P<0.05),说明认知功能改善;而对照组仅视空间与执行功能提高(P<0.05),总分无明显变化(P>0.05);干预8周后,观察组较对照组蒙特利尔认知评估量表总分、命名能力、延迟回忆得分均提高(P<0.05)。结论积极的心理干预对改善帕金森病患者抑郁和认知功能障碍有效。
Objective To explore the effect of psychological intervention on depression and cognitive impairment in patient with Parkinson＇s Disease（PD）. Methods Sixty PD patients with depression and cognitive impairment were randomly divided into control group and experimental group. Patients in control group received normal nursing care while those in experimental group normal nursing plus positive psychological intervention. The scores of depression and cognitive function assessing by Hamilton Depression Scale （HAMD） and Montreal Cognitive Assessment （MoCA） after 8 weeks intervention were compared. Results Depressive symptoms and cognitive impairment were found in all patients with PD. The HAMD scores descend in both the groups after 8 weeks, but scores descended more in experimental group （P〈0.01）. The MoCA scores in experimental group increased significantly （P〈0.05） which indicated patients＇ cognitive function were improved while the total MoCA scores in control group didn＇t change much （P〉0.05）. Conclusion Psychological intervention based on positive psychology can improve the depression and cognitive imoainnent of oatients with PD.
出处
《护理学报》
2012年第23期64-66,共3页
Journal of Nursing（China）
关键词
帕金森病
抑郁
认知功能障碍
心理干预
Parkinson＇s Disease
depression
cognitive impairment
psychological intervention
