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目的分析整体身心调节训练改善颅脑损伤患者执行功能及心境的效果。方法采用数字随机分组法将85例执行功能障碍的颅脑损伤患者分为对照组(42例)和观察组(43例)。对照组给予针对性认知康复干预;观察组在此基础上施以整体身心调节干预。采用威斯康星评测系统(WCST)和执行缺陷综合征的行为评价(BADs)评价患者执行功能;心境状态量表(POMS)评价患者心境情绪特征。结果治疗前,二组的WCST、BADS及POMS各项评分均差异无统计学意义(P>0.05);治疗后,与对照组比较,观察组中WCST、BADs各项指标均有改善及POMS评测中的紧张-焦虑、忧郁-沮丧、疲惫-惰性、活力-好动较对照组有所改善,差异具有统计学意义(P<0.05)。结论整体身心调节可改善患者心境情绪状态、强化认知康复对颅脑损伤患者执行功能障碍的改善作用。
Objective To analyze the effect of overall mental and physical training to improve the executive function and mood of patients with craniocerebral injury. Methods Eighty-five patients with brain injury with executive dysfunction were divided into control group (n = 42) and observation group (n = 43) by digital randomization method. The control group was given targeted cognitive rehabilitation intervention; the observation group exerted the overall physical and psychological intervention on this basis. Patients’ executive function was assessed using the Wisconsin Assessment System (WCST) and Behavioral Assessment (BADs) of Defective Syndromes. The mood status scale (POMS) was used to assess the mood characteristics of patients. Results Before treatment, the scores of WCST, BADS and POMS in the two groups had no significant difference (P> 0.05). After treatment, compared with the control group, the indexes of WCST and BADs in the observation group were improved and POMS The anxiety, melancholy - depression, exhaustion - inertia, vitality - were better than the control group in the improvement, the difference was statistically significant (P <0.05). Conclusion The overall body and mind adjustment can improve the emotional state of patients and strengthen the cognitive rehabilitation on patients with craniocerebral injury to improve the performance of dysfunction.