Depresyon ve bili?sel i?lev bozuklu?u ile komplike olmu? Parkinson hastal??? hastalar?nda pozitif psikolojik müdahalenin etkileri

摘要

Objective: We aimed to evaluate the effects of positive psychological intervention on Parkinson's disease (PD) patients complicated with depression and cognitive dysfunction. Methods: Two hundred and thirty-two PD patients complicated with depression and cognitive dysfunction treated in our hospital were selected and randomly divided into two groups (n=116). The control group was treated routinely and the observation group was additionally sub-jected to positive psychological intervention for eight consecutive weeks. They were evaluated by the Hamilton Depression Rating Scale (HAMD) and the Montreal Cognitive Assessment Scale in terms of depression and cogni-tive dysfunction. The numerical data between groups were compared by the ??2 test, and the categorical data were compared by the t test. Changes in the depression and cognitive function scores before and after intervention were compared by analysis of variance for repeated measures. P0.05 was considered statistically significant. Results: Before intervention, the two groups had similar HAMD and cognitive function scores. After intervention, the HAMD score of the observation group was significantly lower than that of the control group. Compared with the control group, the observation group had significantly higher total score of cognitive function (18.49±3.58 vs. 25.68±2.19), visuospatial executive function (2.18±1.45 vs. 4.53±0.48), attention (3.43±0.77 vs. 5.27±0.58), language ability (2.34±0.59 vs. 2.41±0.49) and orientation (5.16±0.76 vs. 5.98±0.13) scores. Conclusion: Positive psychological intervention can effectively relieve the depression and cognitive dysfunction of PD patients, which is of great signi-ficance to improvement of the survival and quality of life.