综合心理干预对脑外伤后综合症患者负性情绪的影响.docVIP

精品论文 参考文献 综合心理干预对脑外伤后综合症患者负性情绪的影响 张秋华 （淄矿集团中心医院双山分院 山东淄博 255200） 【摘要】目的 探讨综合心理干预对脑外伤后综合症患者负性情绪的影响。方法　选择脑外伤后综合症住院患者60例，随机分成研究组和对照组各30例，研究组患者接受药物治疗联合综合心理干预，而对照组只接受单独的药物治疗，观察8周，再随访3个月。在治疗前、治疗8周末及随访3个月时分别对两组患者实施焦虑自评量表(SAS)和抑郁自评量表(SDS)，以评价综合心理干预辅助药物治疗对脑外伤后综合症患者的负性情绪的疗效。结果　治疗8周末及随访3个月时研究组的焦虑自评量表和抑郁自评量表得分均低于对照组，差异有统计学意义(t1=3.34，t2=5.03, Plt;0.01或t1=2.29，t2=2.94, Plt;0.05)。结论　综合心理干预能有效地改善脑外伤后综合症患者的焦虑和抑郁情绪，值得临床进一步推广。 【关键词】综合心理干预 脑外伤后综合症 负性情绪 【中图分类号】R471 【文献标识码】A 【文章编号】2095-1752（2013）24-0067-02 An Efficacy Study of Comprehensive Psychological Intervention on the Negative Emotions of the Patients with Post-traumatic Brain Syndrome. Zhang Qiuhua. Shuangshan Hospital of Zikuang Group, Zibo 255200, P.R.China 【Abstract】Objective: To explore the efficacy of comprehensive psychological intervention on the negative emotions of the patients with post-traumatic brain syndrome. Methods: 60 inpatients with post-traumatic brain syndrome were randomly assigned to study group and control group, 30 cases each. The study group received drug treatment and comprehensive psychological intervention, while the control group received drug treatment only for 8 weeks, then follow-up 3 months. Before and after 8-week treatment and follow-up 3-month, two groups were assessed with Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS). Result: After 8 weeks and follow-up 8 months,the scores of SAS and SDS in the study group were lower than those in the control groups (t1=3.34, t2=5.03, Plt;0.01 or t1=2.29, t2=2.94, Plt;0.05)). Conclusion: Comprehensive psychological intervention can effectively improve the negative emotions of the patients with post-traumatic brain syndrome. ??Key Words】 Comprehensive psychological intervention Post-traumatic brain syndrome Negative emotions 脑外伤后综合症临床较常见，病程长，易反复发作，不易治愈。患者无明显的阳性体征，各种辅助检查无明显异常发现。其病情与人格因素、心理社会因素有关，患者十分痛苦，有神经症特点，但各种化学、物理治疗效果不理想[1]。我院自2010年采用综合心理干预联合药物治疗对其进行治疗，取得了明显效果，现