Sun Meng, Zhuang Li
Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, China.
Emerg Med Int. 2022 Aug 26;2022:2375344. doi: 10.1155/2022/2375344. eCollection 2022.
The aim of the study is to observe the effects of cognitive behavioral therapy on stress disorder, cognitive function, motor function, and daily living ability of traumatic brain injury (TBI) patients.
84 patients with TBI admitted to our hospital from June 2019 to May 2021 were selected as the research subjects. They were divided into a control group (from June 2019 to May 2020) and an observation group (from June 2020 to May 2021), with 42 cases in each group. The control group received routine intervention; the observation group received cognitive behavioral therapy on the basis of the control group. Before and after intervention, the posttraumatic stress disorder (PTSD), cognitive function, motor function, and daily living ability of the two groups were observed.
After intervention, the PTSD-self-rating scale (PTSD-SS) scores of both groups were lower than those before intervention, and the PTSD-SS scores of the observation group were lower than those of the control group ( < 0.05). After intervention, the scores of the Montreal cognitive assessment (MoCA) scale, Fugl-Meyer assessment (FMA), and modified Barthel index (MBI) in both groups were higher than those before intervention, and the scores of MoCA, FMA, and MBI in the observation group were higher than those in the control group ( < 0.05).
The application of cognitive behavioral therapy to TBI patients is beneficial to reduce the degree of PTSD and improve cognitive function, motor function, and daily living ability, which is worthy of clinical application.
本研究旨在观察认知行为疗法对创伤性脑损伤（TBI）患者应激障碍、认知功能、运动功能及日常生活能力的影响。
选取2019年6月至2021年5月我院收治的84例TBI患者作为研究对象。将其分为对照组（2019年6月至2020年5月）和观察组（2020年6月至2021年5月），每组42例。对照组接受常规干预；观察组在对照组基础上接受认知行为疗法。干预前后，观察两组患者的创伤后应激障碍（PTSD）、认知功能、运动功能及日常生活能力。
干预后，两组患者的PTSD自评量表（PTSD-SS）评分均低于干预前，且观察组的PTSD-SS评分低于对照组（<0.05）。干预后，两组患者的蒙特利尔认知评估（MoCA）量表、Fugl-Meyer评估（FMA）及改良Barthel指数（MBI）评分均高于干预前，且观察组的MoCA、FMA及MBI评分高于对照组（<0.05）。
认知行为疗法应用于TBI患者有利于降低PTSD程度，改善认知功能、运动功能及日常生活能力，值得临床应用。
