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同情聚焦疗法对脑卒中偏瘫患者认知功能与病耻感的影响

Effect of compassion focused therapy on cognitive function and sense of shame in stroke patients with hemiplegia
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摘要 目的 探讨同情聚焦疗法对脑卒中偏瘫患者认知功能与病耻感的影响。方法 选择本院收治的100例脑卒中偏瘫患者作为研究对象,其中2020年12月至2021年12月收治的50例作为对照组,2022年1月至2023年1月收治的50例作为观察组。对照组予以认知行为疗法干预,观察组在对照组的基础上予以同情聚焦疗法干预。比较干预前后两组患者羞耻感、认知功能、自我批评情况。结果 干预后观察组患者病耻感水平评分低于对照组,认知功能评分低于对照组,自我批评水平得分低于对照组,两组比较,差异具有统计学意义(均P<0.05)。结论 同情聚焦疗法可降低脑卒中偏瘫患者自我批评水平、羞耻感,促进患者认知功能恢复。 Objective To investigate the effect of compassion focused therapy on cognitive function and sense of shame in stroke patients with hemiplegia.Methods A total of 100 stroke patients with hemiplegia admitted in our hospital were included as the research objects.The patients were randomly divided into a control group admitted from December 2020 to December 2021 and an observation group admitted from January 2022 to January 2023,with 50 patients per group.The patients in the control group received cognitive behavioural therapy,while those in the observation group received compassion focused therapy as well as cognitive behavioural therapy.The sense of shame,cognitive function,self-criticism and social anxiety in the two groups were observed and compared before and at the end of the intervention.Results The score of the sense of shame in the observation group was significantly lower than that in the control group(P<0.001).The cognitive function score in the observation group was lower than that in the control group at the end of intervention(P<0.05).and the score of the sense of shame scale in the observation group was lower than that in the control group at the end of the intervention(all P<0.05).Conclusion Compassion focused therapy can significantly reduce the self-criticism and sense of shame in the stroke patients with hemiplegia,and promote the recovery of the cognitive function.
作者 刘晓云 李冠增 杨春玲 王艾君 Liu Xiaoyuna;Li Guanzengb;Yang Chunlingc;Wang Aijun(Department of Geriatrics,Liaocheng People’s Hospital,Liaocheng,252000;Department of Neurology,Liaocheng People’s Hospital,Liaocheng,252000;Department of Nursing Administration,Liaocheng People’s Hospital,Liaocheng,252000;Department of Tumors,Qilu Hospital,Shangdong University,Ji’nan,250000,China)
出处 《现代临床护理》 2024年第1期43-48,共6页 Modern Clinical Nursing
基金 聊城市自选课题省级评价项目,课题编号为201905039L。
关键词 脑卒中 偏瘫 同情聚焦疗法 认知功能 羞耻感 认知行为疗法 stroke hemiplegia compassion focused therapy cognitive function sense of shame cognitive behavioural therapy
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