心理干预对老年帕金森患者心理情绪及认知功能障碍的效果分析

心理干预对老年帕金森患者心理情绪及认知功能障碍的效果分析(论文4500字)
摘要：目的  分析心理干预对老年帕金森患者心理情绪及认知功能障碍的效果。方法 选取2017年1月至2017年12月我院接收治疗的老年帕金森患者90例，根据干预方式不同分为观察组和对照组，每组45例，给予对照组常规治疗干预，观察组在对照组基础上实施心理康复干预，比较干预前后两组患者心理情绪变化及认知功能情况，心理情绪评价采用汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD），认知功能评价采用蒙特利尔认知评估量表（MoCA）。结果 干预后，观察组患者汉密尔顿焦虑量表（HAMA）评分和汉密尔顿抑郁量表（HAMD）评分明显优于对照组，差异具有统计学意义（HAMA评分t=5.540；HDMD评分t=8.779，P＜0.05）；干预后，观察组患者蒙特利尔认知评估量表（MoCA）评分总分明显高于对照组，差异具有统计学意义（t=0.033，P < 0.05）。结论 心理干预可减轻老年帕金森患者焦虑、抑郁等负面情绪，有效提高患者的认知功能。
关键词：帕金森；心理干预；情绪；认知功能障碍
Effect of psychological intervention on the negative emotions andcognitive impairment of patients with Parkinson
Xu Lisha Yang Rong   LujianYing  Lienzhi    Weidan        
  Department of Neurology, West China Hospital, Sichuan University, 610041
【Abstract】 Objective To analyze the effect of psychological intervention on the negative emotions and cognitive impairment of patients with Parkinson.. Methods Selected the 90 patients with Parkinson from our hospital receiving in Jan. 2017 to Dec. 2017, divided into observation group and control group according to the different nursing measures, with 45 cases in each group，the control group was given routine nursing care，the observation group was given psychological intervention. Comparing the psychological emotional changes and cognitive function of the two groups before and after intervention, the Hamilton anxiety scale (HAMA) and the Hamilton depression scale (HAMD) were used in the evaluation of psychological emotions. Results After intervention, the Hamilton anxiety scale (HAMA) score of the observation group and the Hamilton depression scale (HAMD) score were significantly better than the control group, and the difference was statistically significant (HAMA score t=5.540;HDMD score t=8.779, P < 0.05);After intervention, the total score of Montreal cognitive assessment scale (MoCA) was significantly higher in the observation group than in the control group, and the difference was statistically significant (t=0.033, P < 0.05).ConclusionPsychological intervention can alleviate the negative emotions such as anxiety and depression in elderly patients with Parkinson's disease, and effectively improve the cognitive function of patients.
【Key words】Parkinson;psychological intervention;emotions;cognitive impairment
目录
1 资料与方法    2
1.1 一般资料    2
1.2  方法    3
1.3 观察指标    3
2. 结果    4
3、讨论    5