CAJ | 학술논문

目的探讨认知疗法联合图片识别训练对脑梗死后抑郁的影响.方法采用随机数字表法将60例脑梗死后抑郁患者分为治疗组及对照组,2组患者均给予常规康复训练,治疗组在此基础上辅以认知干预及图片识别训练.分别于治疗前、治疗4周后采用图片识别平均反应时间及正确率、汉密尔顿抑郁量表(HAMD)及Barthel指数(BI)评分对2组患者进行疗效评定.结果治疗后治疗组患者图片识别平均反应时间为(708.59 ±181.82)ms,正确率为(91.02± 10.23)％,HAMD评分为(11.1±3.2)分,BI评分为(74.1±9.4)分；对照组图片识别平均反应时间为(840.35±190.56) ms,正确率为(72.41 ±11.64)％,HAMD评分为(14.6±4.2)分,BI评分为(61.8±10.5)分,2组患者上述指标均较治疗前明显改善(均P＜0.05)；并且上述指标均以治疗组的改善幅度较显著,与对照组间差异均具有统计学意义(均P＜0.05).结论认知疗法联合图片识别训练能明显改善脑梗死后抑郁患者图片识别能力及抑郁症状,对提高患者日常生活活动能力具有重要作用.
목적 탐토인지요법연합도편식별훈련대뇌경사후억욱적영향.방법 채용수궤수자표법장60례뇌경사후억욱환자분위치료조급대조조,2조환자균급여상규강복훈련,치료조재차기출상보이인지간예급도편식별훈련.분별우치료전、치료4주후채용도편식별평균반응시간급정학솔、한밀이돈억욱량표(HAMD)급Barthel지수(BI)평분대2조환자진행료효평정.결과 치료후치료조환자도편식별평균반응시간위(708.59 ±181.82)ms,정학솔위(91.02± 10.23)％,HAMD평분위(11.1±3.2)분,BI평분위(74.1±9.4)분；대조조도편식별평균반응시간위(840.35±190.56) ms,정학솔위(72.41 ±11.64)％,HAMD평분위(14.6±4.2)분,BI평분위(61.8±10.5)분,2조환자상술지표균교치료전명현개선(균P＜0.05)；병차상술지표균이치료조적개선폭도교현저,여대조조간차이균구유통계학의의(균P＜0.05).결론 인지요법연합도편식별훈련능명현개선뇌경사후억욱환자도편식별능력급억욱증상,대제고환자일상생활활동능력구유중요작용.
Objective To investigate the effects of cognitive therapy combined with picture recognition training on depression after stroke (PSD).Methods Sixty patients with PSD after cerebral infarction were randomized into study and control groups.All accepted routine rehabilitation therapy.In addition,the study group accepted cognitive therapy combined with picture recognition training.The effects were assessed in terms of average reaction time and accuracy in picture recognition,and using the Hamilton depression rating scales (HAMDs) and the Barthel index (BI) before and after 4 weeks of treatment.Results The average reaction time and accuracy in picture recognition and the HAMD and BI scores improved significantly in both groups.The effects in the study group were significantly better than those of the control group.Conclusion Cognitive therapy combined with picture recognition training can alleviate depression symptoms and improve ability in the activities of daily living after stroke.