中西医结合护理 (Mar 2023)
Application of Liuzijue breathing exercise for patients with subthreshold depression after stroke (“六字诀”呼吸训练在脑卒中后阈下抑郁患者中的应用研究)
Abstract
Objective To evaluate the effect of Liuzijue breathing exercise for patients with subthreshold depression after stroke. Methods Totally 60 patients with post-stroke subthreshold depression who met the diagnostic inclusion criteria were randomly divided into two groups , with 30 cases in each group. All patients received basic treatment and nursing. The control group received routine nursing care for relieving post stroke depression. The treatment group received Liuzijue breathing exercise. The Center for Epidemiological Studies Depression Scale(CES-D) and the 17-item Hamilton Depression Scale were used to measures the depression status of patients. Results There were 29 cases in the control group and 28 cases in the treatment valid for the analysis. Scores of CES-D and HAMD-17 decreased significantly at 28 days after intervention compared with those intervention p(P＜0. 05), and scores of CES-D and HAMD-17 in the treatment group were lower than those in the control group(P＜0. 01). Conclusion Liuzijue breathing exercise can improve the CES-D and HAMD-17 scores of stroke patients with subthreshold depression, relieve their negative emotions, and provide basis for emotional nursing of Traditional Chinese Medicine. (目的 探讨中医“六字诀”呼吸训练在脑卒中后阈下抑郁患者中的应用效果。方法 将符合纳入标准的脑卒中后阈下抑郁患者60例随机分为对照组和治疗组, 每组30例。两组患者均接受基础治疗, 对照组采用卒中后抑郁常规护理干预, 治疗组接受“六字诀”中医呼吸训练法。采用流调中心用抑郁量表(CES-D)和17项汉密尔顿抑郁(HAMD-17)量表评估患者抑郁状态。结果 对照组最终纳入29例, 治疗组纳入28例。干预后两组CES-D量表和HAMD-17量表评分较干预前降低(P＜0. 05), 且治疗组CES-D量表和HAMD-17量表评分均低于对照组, 差异有统计学意义(P＜0. 01)。结论 “六字诀”呼吸训练可改善脑卒中阈下抑郁患者CES-D、HAMD-17评分, 可以改善负性情绪, 可以为中医情志护理提供参考依据。)
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