Cognitive behavioral stress management effectively facilitates neurologic recovery, alleviates mental distress, and elevates health status in acute ischemic stroke patients.

IF 1.9 4区 医学 Q2 BIOLOGY
Shihong Yue, Yue Yin, Jie Liu, Zhaojun Liu
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Abstract

Cognitive behavioral stress management (CBSM) relieves physical and psychological burdens in patients with some central nervous system diseases, while its utility in acute ischemic stroke (AIS) patients is unclear. This study aimed to explore the effect of CBSM on neurologic recovery and psychosomatic health in AIS patients. Totally, 176 naive AIS patients were randomized into routine care (RC) group (n=88) and CBSM group (n=88) to receive a 3-month corresponding intervention. Modified Rankin scale (mRS) scores at the first month after discharge (M1) (P=0.008) and the third month after discharge (M3) (P=0.016) were lower in the CBSM group than in the RC group. The proportion of AIS patients with mRS score >2 at M3 was reduced in CBSM group vs RC group (P=0.045). Hospital anxiety depression scale (HADS)-anxiety score at M3 (P=0.016), HADS-depression score at M3 (P=0.005), and depression rate at M3 (P=0.021) were decreased in the CBSM group vs the RC group. EuroQol-5 dimension scores at M1 (P=0.024) and M3 (P=0.012) were decreased, while EuroQol-visual analogue scale score at M3 (P=0.026) was increased in the CBSM group vs the RC group. By subgroup analyses, CBSM had favorable outcomes in AIS patients with age ≤65 years. CBSM was beneficial to neurologic recovery and distress relief in AIS patients with an education level of middle school or above, and to health status in those with an education level of primary school or uneducated. In conclusion, CBSM benefitted neurologic recovery and psychosomatic health in AIS patients with minor neurological deficits, however, further studies should verify these results with a larger sample size and longer follow-up.

认知行为压力管理能有效促进急性缺血性脑卒中患者的神经功能恢复、减轻精神压力并改善健康状况。
认知行为压力管理(CBSM)可减轻一些中枢神经系统疾病患者的生理和心理负担,但其对急性缺血性脑卒中(AIS)患者的作用尚不明确。本研究旨在探讨 CBSM 对 AIS 患者神经功能恢复和心身健康的影响。176名天真的AIS患者被随机分为常规护理组(88人)和CBSM组(88人),接受为期3个月的相应干预。CBSM组出院后第一个月(M1)和第三个月(M3)的改良朗肯量表(mRS)评分(P=0.008)均低于RC组(P=0.016)。CBSM组与RC组相比,M3时mRS评分>2的AIS患者比例降低(P=0.045)。CBSM组与RC组相比,M3时医院焦虑抑郁量表(HADS)-焦虑评分(P=0.016)、M3时HADS-抑郁评分(P=0.005)和M3时抑郁率(P=0.021)均有所下降。CBSM组与RC组相比,M1(P=0.024)和M3(P=0.012)时的EuroQol-5维度评分下降,而M3(P=0.026)时的EuroQol-视觉模拟量表评分上升。通过亚组分析,CBSM 对年龄小于 65 岁的 AIS 患者有良好的疗效。CBSM有利于初中或以上文化程度的AIS患者的神经功能恢复和痛苦缓解,有利于小学或未受过教育的AIS患者的健康状况。总之,CBSM 有利于轻微神经功能缺损的 AIS 患者的神经功能恢复和心身健康,但进一步的研究应通过更大的样本量和更长时间的随访来验证这些结果。
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来源期刊
CiteScore
4.00
自引率
0.00%
发文量
129
审稿时长
2 months
期刊介绍: The Brazilian Journal of Medical and Biological Research, founded by Michel Jamra, is edited and published monthly by the Associação Brasileira de Divulgação Científica (ABDC), a federation of Brazilian scientific societies: - Sociedade Brasileira de Biofísica (SBBf) - Sociedade Brasileira de Farmacologia e Terapêutica Experimental (SBFTE) - Sociedade Brasileira de Fisiologia (SBFis) - Sociedade Brasileira de Imunologia (SBI) - Sociedade Brasileira de Investigação Clínica (SBIC) - Sociedade Brasileira de Neurociências e Comportamento (SBNeC).
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