CAJ | 학술논문

[目的]探讨早期认知行为干预对颅脑损伤病人心理的影响。[方法]选取神经外科颅脑损伤病人110例按随机数字表分为干预组和对照组各55例，干预组在常规心理护理方法的基础上实施早期认知行为干预，对照组给予常规心理护理。在入组时及干预1周后应用意外创伤病人早期心理他评量表进行评估，出院3个月及6个月随访病人并填写创伤后应激障碍检查量表平民版(PCL C)。[结果]干预1周后，干预组早期心理他评量表焦虑、抑郁、总分均低于对照组，差异有统计学意义(P<0.05)；出院3个月及6个月时干预组PCL C评分低于对照组，组间比较差异有统计学意义(P<0.05)。[结论]早期认知行为干预能有效改善颅脑损伤病人的心理应激水平，缓解焦虑、抑郁心理，改善创伤后应激障碍综合征症状。
[목적]탐토조기인지행위간예대로뇌손상병인심리적영향。[방법]선취신경외과로뇌손상병인110례안수궤수자표분위간예조화대조조각55례，간예조재상규심리호리방법적기출상실시조기인지행위간예，대조조급여상규심리호리。재입조시급간예1주후응용의외창상병인조기심리타평량표진행평고，출원3개월급6개월수방병인병전사창상후응격장애검사량표평민판(PCL C)。[결과]간예1주후，간예조조기심리타평량표초필、억욱、총분균저우대조조，차이유통계학의의(P<0.05)；출원3개월급6개월시간예조PCL C평분저우대조조，조간비교차이유통계학의의(P<0.05)。[결론]조기인지행위간예능유효개선로뇌손상병인적심리응격수평，완해초필、억욱심리，개선창상후응격장애종합정증상。
Objective:To probe into the influence of early cognitive behavior intervention on psychological state of the patients with traumatic brain injury.Methods:A total of 110 cases of craniocerebral injury patients in de-partment of neurosurgery were randomly divided into intervention group and control group based on random number table,5 5 cases in each.The patients in control group received routine psychological care.In addition,the patients in intervention group received early cognitive behavior interventions.The patients were assessed by u-sing Early Psychological Scale of Trauma Patients before intervention and one week after intervention.The pa-tients received the followed up at 3 months and 6 months after discharge and filled the questionnaire of PTSD (PCL C).Results:At one week after intervention,the anxiety,depression and total score of early psychological assessment scale in intervention group were lower than that in control group,and the difference was statistically significant(P<0.05);at 3 months and 6 months,the PCL C score of patients in intervention group was lower than that of patients in control group,the difference between groups was statistically significant(P<0.05).Con-clusion:Early cognitive behavioral intervention can effectively improve the level of psychological stress in pa-tients with traumatic brain inj ury,relieve anxiety and depression,improve the symptoms of post traumatic stress disorder syndrome,PTSD.