摘要
目的 探究团体正念减压疗法结合阶段性认知行为干预在高血压脑出血术后康复期患者中的应用效果。方法 将2020年8月至2021年7月我院收治的40例高血压脑出血术后康复期患者以护理方案不同分为对照组和观察组,各20例。对照组接受常规护理,观察组在对照组基础上给予团体正念减压疗法结合阶段性认知行为干预。比较两组的干预效果。结果 出院前1 d,观察组的神经元特异性烯醇化酶(NSE)水平低于对照组,脑源性神经营养因子(BDNF)、神经生长因子(NGF)水平高于对照组(P<0.05)。干预后5、10、15 d,观察组的自尊量表(SES)评分高于对照组(P<0.05)。出院前1 d,观察组的面对评分高于对照组,回避、屈服评分低于对照组(P<0.05)。结论 团体正念减压疗法结合阶段性认知行为干预可有效改善高血压脑出血术后康复期患者自尊水平及应对方式,促进神经功能康复。
Objective To explore the application effect of group mindfulness decompression therapy combined with periodic cognitive behavioral intervention in patients with hypertensive cerebral hemorrhage during postoperative rehabilitation period.Methods From August 2020 to July 2021,40 patients with hypertensive cerebral hemorrhage during postoperative rehabilitation period admitted in our hospital were divided into control group and observation group according to different nursing schemes,with 20 cases in each group.The control group received routine nursing,and the observation group was given group mindfulness decompression therapy combined with periodic cognitive behavioral intervention on the basis of the control group.The intervention effects of the two groups were compared.Results At 1 d before discharge,the level of neuron-specific enolase(NSE)in the observation group was lower than that in the control group,and the levels of brain-derived neurotrophic factor(BDNF),nerve growth factor(NGF)were higher than those in the control group(P<0.05).On the 5,10,15 d after intervention,the Self-Esteem Scale(SES)score of the observation group was higher than that of the control group(P<0.05).At 1 d before discharge,the facing score of the observation group was higher than that of the control group,and the avoidance and yielding scores were lower than those of the control group(P<0.05).Conclusion Group mindfulness decompression therapy combined with periodic cognitive behavioral intervention can effectively improve the self-esteem level and coping mode of patients with hypertensive cerebral hemorrhage during postoperative rehabilitation period,and promote the rehabilitation of neurological function.
作者
刘怡晓
朱爱娥
孙锐玲
LIU Yixiao;ZHU Ai'e;SUN Ruiling(Xi'an Gaoling District Hospital,Xi'an 710200;Traditional Chinese Medicine Hospital of Gaoling District of Xi'an,Xi'an 710200;the First Affiliated Hospital of Air Force Military Medical University,Xi'an 710032,China)
出处
《临床医学研究与实践》
2023年第10期168-170,共3页
Clinical Research and Practice
关键词
团体正念减压疗法
阶段性认知行为干预
高血压脑出血
自尊水平
应对方式
group mindfulness decompression therapy
periodic cognitive behavioral intervention
hypertensive cerebral hemorrhage
self-esteem level
coping mode
