基于正念的认知治疗对急性脑梗塞患者的反和创伤后生长的影响:一项随机对照试验
Zuoju Zhang1, Yanhong Dong2, Yuxin Sun1
1School of Nursing, Dali University, Dali, Yunnan, China.
Medicine
|May 29, 2025
概括
基于正念的认知疗法 (MBCT) 在急性脑梗塞 (ACI) 患者中改善了有目的的反,自我护理和心理健康. 然而,MBCT并没有显著提高四肢运动功能或肌肉力量.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 康复 康复 康复 康复
背景情况:
- 脑血管疾病,特别是脑梗塞,存在重大管理挑战.
- 基于正念的认知疗法 (MBCT) 对各种慢性疾病有效.
- 对于急性脑梗塞 (ACI) 患者的MBCT的证据,特别是对反动物的证据是有限的.
研究的目的:
- 为了研究MBCT对ACI患者的反的影响.
- 评估MBCT对焦虑,抑郁,创伤后成长和自我护理的影响.
- 评估MBCT对肢体运动功能的影响和ACI幸存者的肌肉力量.
主要方法:
- 进行了一项随机,单盲,并行,单中心受控试验.
- 参与者接受了6周的MBCT或标准护理.
- 包括反,焦虑,抑郁,创伤后生长,自我照顾,运动功能和肌肉力量在内的结果在基线和6周被评估.
主要成果:
- 与标准护理相比,MBCT显著改善了有目的的反,减少了侵入性反,并减轻了焦虑和抑郁症症状.
- 患者在MBCT组显示,增强创伤后生长和自我护理能力 (修改巴塞尔指数得分).
- 在MBCT和对照组之间,没有发现肢体运动功能或肌肉强度的显著差异.
结论:
- 在ACI患者中,MBCT有效改善有目的的反,自我照顾和心理健康.
- MBCT积极影响创伤后生长,并减少焦虑和抑郁症状.
- 在ACI患者中,MBCT并不能显著改善四肢运动功能或肌肉力量.
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