CAJ | 학술논문

目的：观察马斯洛需要层次论指导下心理干预联合通阳利湿法辨证施治对神经根型颈椎病患者抑郁发作及临床症状体征的影响。方法将180例神经根型颈椎病患者随机分为对照组、治疗1组、治疗2组。对照组给予常规护理；治疗1组给予常规护理+马斯洛需要层次理论指导的心理干预；治疗2组给予常规护理+马斯洛需要层次理论指导的心理干预+通阳利湿法辨证施治。比较3组干预前后抑郁评分（17-item Hamilton Depression Rating Scale，HAMD-17）及症状体征积分。结果3组在改善抑郁评分及症状体征积分方面差异有统计学意义（ P﹤0.05或﹤0.01），其中治疗2组优于治疗1组，治疗1组又优于对照组。结论马斯洛需要层次论指导下心理干预联合通阳利湿法辨证施治较以往常规护理或单独应用马斯洛需要层次论指导下心理干预，对神经根型颈椎病伴发抑郁患者有更好的疗效。
목적：관찰마사락수요층차론지도하심리간예연합통양리습법변증시치대신경근형경추병환자억욱발작급림상증상체정적영향。방법장180례신경근형경추병환자수궤분위대조조、치료1조、치료2조。대조조급여상규호리；치료1조급여상규호리+마사락수요층차이론지도적심리간예；치료2조급여상규호리+마사락수요층차이론지도적심리간예+통양리습법변증시치。비교3조간예전후억욱평분（17-item Hamilton Depression Rating Scale，HAMD-17）급증상체정적분。결과3조재개선억욱평분급증상체정적분방면차이유통계학의의（ P﹤0.05혹﹤0.01），기중치료2조우우치료1조，치료1조우우우대조조。결론마사락수요층차론지도하심리간예연합통양리습법변증시치교이왕상규호리혹단독응용마사락수요층차론지도하심리간예，대신경근형경추병반발억욱환자유경호적료효。
Objective To observe the influence of psychological intervention that was guided by Maslow hierarchy of needs theory in combination with Tongyang Lishi decoction on cervical spondylotic radiculopathy patients with depressive episode and clinical signs and symptoms. Methods One hundred and eighty cases of cervical spondylotic radiculopathy patients were divided into three groups:the control group,the treatment group 1 and the treatment group 2. Patients in control group received routine nursing, patients in the treatment group 1 were given routine nursing and psychological intervention by reference to Marlow hierarchy of needs theory,patients in the treatment group 2 received Tongyang Lishi decoction with dialectical nursing based on the treatment group 1. Depression scores(17-item Hamilton Depression Rating Scale,HAMD-17 )and symptom scores were compared before and after the intervention among three groups. Results There ware significant differences among the three groups in depression and symptom scores( P﹤0 . 05 or ﹤0 . 01 ),the treatment group 2 was better than treatment group 1 ,the treatment group 1 was better than control group. Conclusion Compared with routine nursing or using psychological intervention by reference to Maslow hierarchy of needs theory individually,psychological intervention that was guided by Maslow hierarchy of needs theory with Tongyang Lishi decoction based on dialectical nursing has a better curative effect on cervical spondylotic radiculopathy patients with depression.