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Investigation On Mental Health And Quality Of Life In Parkinson's Patients And The Effect Of Positive Psychological Counseling On Anxiety And Depression

Posted on:2018-05-30Degree:MasterType:Thesis
Country:ChinaCandidate:J T GouFull Text:PDF
GTID:2335330515498034Subject:Education
Abstract/Summary:PDF Full Text Request
Objective: First,to understand the mental health and quality of life of patients with Parkinson's disease,and to analyze the relevant influencing factors,to provide scientific basis for the psychological intervention of patients with Parkinson's disease: "To improve the anxiety and depression of patients with Parkinson's disease" special group psychological counseling program,and the effect evaluation,to provide a basis for further research.Method:The subject is divided into two parts:the first part of a hospital rehabilitation hospital in Hangzhou,Parkinson patients hospitalized as the object of study,to carry out mental health and quality of life survey.(GHQ-12),self-rating depression scale(SDS),anxiety self-rating scale(SAS),sleep self-rating scale(SRSS),self-rating scale(SRSS),self-rating scale(SAS)And the quality of life scale(SF-36).The second part of the psychological intervention strategyresearc h,using two different groups of psychological intervention techniques for patients with Parkinson's outstanding anxiety,depressi on,special counseling.On the basis of the data of the first part,the patients with mild degree of anxiety and moderate degree of depression were selected and divided into experimental group and control group by randomized grouping method.The experimental group applied the positive psychological treatment technology to the group psychologicalcounseling,the control group adopted the form of mental health education lectures.Innovations:(1)to understand the mental health and quality of life of patients with Parkinson's disease;(2)This study combined with Parkinson's patients with mobility and special psychological characteristics,from the perspective of their own advantages andpotential to explore the point of view,carefully designed positive psychological counseling programs for the psychological intervention of Parkinson's patients to provide new strategies.Conclusions:(1)Parkinson's age is mostly distributed between 50 years old and 80 years old,and 2/3 of patients have different psychological problems.From the survey results,the incidence of anxiety symptoms in PD patients reached 64.8%,of which the highest number of mild anxiety,reaching 44.4%,the incidence of depressive symptoms was 81.5% in patients with moderate depression reached46.3%;sleep problems Of the patients accounted for 74.1%,that is about3/4 of patients with sleep problems.The proportion of patients with mildsleep problems was the highest,reaching 40.7%.Through regression analysis,it was found that anxiety and general health had the greatest impact on sleep status.The survey also found that the general health status,anxiety,depression,sleep conditions affect the quality of life of patients with PD,and quality of life will decline with the development of the disease.Anxiety and depression had the greatest impact on the quality of life of patients with Parkinson 's disease.The effect of anxiety on quality of life was slightly higher than that of depression on the quality of life.54 patients with Parkinson's average score of only46.93±18.97,far lower than the average quality of life of disabled people in Hangzhou 62.3±18.40,the difference is extremel significant.The mental health and quality of life of Parkinson's patients were poor.(2)In view of Parkinson's patients with severe anxiety and depression,the author randomly divided the experimental group into experimental group and control group,respectively,the implementation of positive psychological counseling and mental health education.The results showed that the anxiety and depression scores of the two groups were lower after intervention,but the experimental group was more obvious than the controlgroup,the difference was significant.Indicating that the well-designed positive psychological counseling has a good effect,can be promoted and improved.
Keywords/Search Tags:Parkinson, Anxiety, Depression, quality of life, sleep condition
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