国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
14期
2043-2046
,共4页
梁普莹%崔立谦%刘英华%吴卓华
樑普瑩%崔立謙%劉英華%吳卓華
량보형%최립겸%류영화%오탁화
个性化健康教育%重复经颅磁刺激%帕金森%焦虑抑郁
箇性化健康教育%重複經顱磁刺激%帕金森%焦慮抑鬱
개성화건강교육%중복경로자자격%파금삼%초필억욱
Individualized health education%Repetitive transcranial magnetic stimulation%Parkinson's disease%Anxiety and depression
目的 探讨个性化健康教育联合重复经颅磁刺激对帕金森病患者抑郁焦虑心理的影响,为加强对帕金森病的治疗提供临床参考.方法 抽取我院2011年4月份到2013年6月份收治的80例帕金森病伴焦虑抑郁患者作为研究对象,按照随机分组的方式分为对照组和观察组,每组40例,在抗帕金森病药物治疗方案不变的前提下,对照组采用重复经颅磁刺激干预,观察组在此基础上加用个性化健康教育干预,选择抑郁自评量表(SDS)与焦虑自评量表(SAS)对两组的抑郁焦虑情绪评估,对治疗前后的得分进行分析和比较.结果 经研究发现,两组治疗后的SDS、SAS评分均有不同程度的改善在治疗后的3周、3个月后,观察组的SDS分别为(49.1±3.2)分、(46.8±1.8)分,SAS分别为(47.1±3.3)分、(46.3±2.2)分,与对照组SDS的(53.5±3.1)分、(52.6±1.6)分和SAS的(49.7±3.6)分、(50.5±3.7)分比较,差异有统计学意义(P<0.05).结论 给予帕金森病患者个性化健康教育联合重复经颅磁刺激进行治疗,能够在保证临床整体治疗效果的同时,有效缓解和减轻患者的抑郁、焦虑心理,提高生活质量,具有较高的临床应用价值,值得进一步推广.
目的 探討箇性化健康教育聯閤重複經顱磁刺激對帕金森病患者抑鬱焦慮心理的影響,為加彊對帕金森病的治療提供臨床參攷.方法 抽取我院2011年4月份到2013年6月份收治的80例帕金森病伴焦慮抑鬱患者作為研究對象,按照隨機分組的方式分為對照組和觀察組,每組40例,在抗帕金森病藥物治療方案不變的前提下,對照組採用重複經顱磁刺激榦預,觀察組在此基礎上加用箇性化健康教育榦預,選擇抑鬱自評量錶(SDS)與焦慮自評量錶(SAS)對兩組的抑鬱焦慮情緒評估,對治療前後的得分進行分析和比較.結果 經研究髮現,兩組治療後的SDS、SAS評分均有不同程度的改善在治療後的3週、3箇月後,觀察組的SDS分彆為(49.1±3.2)分、(46.8±1.8)分,SAS分彆為(47.1±3.3)分、(46.3±2.2)分,與對照組SDS的(53.5±3.1)分、(52.6±1.6)分和SAS的(49.7±3.6)分、(50.5±3.7)分比較,差異有統計學意義(P<0.05).結論 給予帕金森病患者箇性化健康教育聯閤重複經顱磁刺激進行治療,能夠在保證臨床整體治療效果的同時,有效緩解和減輕患者的抑鬱、焦慮心理,提高生活質量,具有較高的臨床應用價值,值得進一步推廣.
목적 탐토개성화건강교육연합중복경로자자격대파금삼병환자억욱초필심리적영향,위가강대파금삼병적치료제공림상삼고.방법 추취아원2011년4월빈도2013년6월빈수치적80례파금삼병반초필억욱환자작위연구대상,안조수궤분조적방식분위대조조화관찰조,매조40례,재항파금삼병약물치료방안불변적전제하,대조조채용중복경로자자격간예,관찰조재차기출상가용개성화건강교육간예,선택억욱자평량표(SDS)여초필자평량표(SAS)대량조적억욱초필정서평고,대치료전후적득분진행분석화비교.결과 경연구발현,량조치료후적SDS、SAS평분균유불동정도적개선재치료후적3주、3개월후,관찰조적SDS분별위(49.1±3.2)분、(46.8±1.8)분,SAS분별위(47.1±3.3)분、(46.3±2.2)분,여대조조SDS적(53.5±3.1)분、(52.6±1.6)분화SAS적(49.7±3.6)분、(50.5±3.7)분비교,차이유통계학의의(P<0.05).결론 급여파금삼병환자개성화건강교육연합중복경로자자격진행치료,능구재보증림상정체치료효과적동시,유효완해화감경환자적억욱、초필심리,제고생활질량,구유교고적림상응용개치,치득진일보추엄.
Objective To study the influence of individualized health education in combination with repetitive transcranial magnetic stimulation on depression and anxiety in patients with Parkinson's disease and to provide some references for treating of Parkinson's disease.Methods 80 patients with Parkinson's disease complicated with anxiety and depression were selected from our hospital from April,2011 to June,2013 as study objects and were randomly divided into a control group and an observation group,40 cases for each group.The control group adopted repetitive transcranial magnetic stimulation intervention; in addition,the observation group received individualized health education.Depression self rating scale (SDS) and anxiety self rating scale (SAS) were used to assess the anxiety and depression of both groups' patients.The scores were analyzed and compared before and after treatment.Results After the treatment,SDS and SAS scores were improved in different degrees in both groups.3 weeks and 3 months after the treatment,the SDS scores were (49.1 ± 3.2) and (46.8 ± 1.8) and the SAS scores were (47.1 ± 3.3) and (46.3 ± 2.2) in the observation group and the SDS were (53.5 ± 3.1) and (52.6 ± 1.6) and the SAS scores were (49.7 ± 3.6) and (50.5 ± 3.7) in the control group,respectively,with statistical differences (P<0.05).Conclusions Individualized health education in combination with repetitive transcranial magnetic stimulation for patients with Parkinson's disease is effective,can reduce the patients' depression and anxiety and improve their quality of life,has high clinical value,and is worth being generalized.