| 张建忠,张晶璟,张敏.心理干预对精神障碍患者无抽搐电休克治疗时焦虑的影响[J].上海护理,2017,17(8): |
| 心理干预对精神障碍患者无抽搐电休克治疗时焦虑的影响 |
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| DOI： |
| 中文关键词: 无抽搐电休克治疗 焦虑 个别心理支持治疗 |
| 英文关键词:Modified electric non-convulsive shock therapy anxiety individual psychological support therapy |
| 基金项目:上海市闵行区科学技术委员会(2015MH036 |
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| 中文摘要: |
| 〔摘要〕目的：了解心理干预对无抽搐电休克治疗患者焦虑情绪的作用。方法：2015年5月～2016年9月期间符合入组的精神分裂症及情感性精神障碍的住院患者共100例，采用随机数字表法将患者分为干预组、观察组各50例 。对入组的全部患者实施MECT前、中、后的护理常规，对干预组的患者实施个别心理支持治疗与集体宣教。运用汉密尔顿焦虑量表（HAMA）、简易智力量表（MMSE）对入组的患者进行焦虑状态及记忆力的评估。结果：在研究结束时，干预组有42名完成随访评估，观察组有41名完成随访评估。两组患者MMSE基线组间评分对比无差异，（t=-1.38 P=0.17）；两组患者MMSE第六周组间评分对比无差异，（t=-5.56 P=5.56）。两组间患者HAMA的评分对比为，治疗前(基线)的评分对比无差异，（t=-0.58 P=0.57）；在治疗第二周的评分干预组的分值低于观察组并且具有统计学意义，（t=-4.28 P=0.00）；在治疗第四周的评分干预组的分值低于观察组并且具有统计学意义，（t=-10.04 P=0.00）。结论：实施心理干预能降低患者对MECT的焦虑状态。 |
| 英文摘要: |
| [Abstract] Objective: To investigate the effect of psychological intervention on anxiety of patients with modified electric non-convulsive shock therapy. Methods: Sample during the period from September 2015 to May 2016 meets the Group of schizophrenia and affective disorders with a total of 100 in-patients. By random number table these patients were randomly divided into intervention group and observation group with 50 cases in each group. Before, during and after MECT, all the patients were implemented conventional nursing. The patients in the intervention group were treated with individual psychological support therapy and collective education. Using Hamilton anxiety scale (HAMA), Mini-Mental State Examination (MMSE) to assess anxiety and memory of patients in group. Results: In the end of the study, 42 patients in intervention group completed follow-up assessment and 41 in observation group. There was no difference in baseline MMSE score comparison between two groups (t=-1.38 P=0.17) and after sixth weeks (t=-5.56 P=5.56). Comparison of HAMA scores between two groups indicated no difference before treatment (t=-0.58 P=0.57).In the second week of treatment, scores of the intervention group were lower than of the observation group, and the difference was statistically significant, (t=-4.28 P=0.00). In the fourth week of treatment, scores of the intervention group were lower than of the observation group, and the difference was statistically significant (t=-10.04 P=0.00).Conclusion: Psychological intervention can reduce the anxiety state of patients with MECT. |
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