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康复训练结合心理干预对脑梗塞后偏瘫患者日常生活活动能力的影响

  • 李建华,陈兰,米康,张敏

* 通信作者: 李建华, 单位:四川省遂宁市中心医院

摘要

摘要:
目的:探讨康复训练结合心理干预对脑梗塞后偏瘫患者日常生活活动能力的影响观察。

方法:选取2015年12月至2016年12月期间在我院接受治疗的78例脑梗塞后肢体偏瘫患者作为研究对象,采用随机的

方法将之分为观察组和对照组各39例,两组患者除了给予营养神经、改善循环药物进行常规治疗外、再实施康复训练进行干预,观察组在此基础上加以开展心理干预。分别对两组患者的治疗前、治疗3周和治疗8周后的汉密尔抑郁量表(HAMD-17)、Fugl-Meyer运动功能量表评分(FMA)、改良Barthel指数评分(MBI)进行比较。

结果:治疗前,两组患者的HAMD-17评分差异无统计学意义(P>0.05),经治疗3周和8周后,两组患者的HAMD-17评分明显低于治疗前,其中观察组患者的HAMD-17评分低于对照组(P<0.05);观察组治疗3周和8周后的MBI评分和FMA显著优于对照组和治疗前,其中以治疗8周后的评分最优,差异有统计学意义(P<0.05)。

结论:康复训练结合心理干预可以有效改善脑梗塞后偏瘫患者的不良心理状态,同时有助于促进患者的肢体运动功能和日常生活活动能力,因而值得推广。

关键词:关键词:康复训练;心理干预;脑梗塞;偏瘫;运动功能

ABSTRACT

Abstract:
Objective: To investigate the effect of rehabilitation training combined with psychological intervention on activities of daily living in patients with hemiplegia after cerebral infarction.

Methods: 78 cases of cerebral infarction during the period from December 2015 to December 2016 in our hospital for treatment of hemiparalysis patients as the research object, using random methods will be divided into observation group and control group of 39 cases, two groups were given in addition to nutrition nerve, improve circulation drugs into the routine treatment, then the implementation of rehabilitation. The intervention, observation group on the basis of carrying out psychological intervention. The two groups were compared before and after 3 weeks of treatment and after 8 weeks of treatment by the Han mill Depression Scale (HAMD-17), the Fugl-Meyer motor function scale (FMA), and the modified Barthel index score (MBI). before treatment, there was no significant difference in HAMD-17 score of the two groups of patients (P>0.05), after 3 weeks of treatment and after 8 weeks, the two groups of patients with HAMD-17 score was significantly lower than that before treatment, in which the HAMD-17 score in the observation group than in the control group (P<0.05); the observation group for 3 weeks and 8 weeks after MBI and the FMA score was significantly better than the control group and before treatment, the optimal score after 8 weeks of treatment, the difference was statistically significant (P<0.05).

Conclusion  : rehabilitation training combined with psychological intervention can effectively improve the cerebral infarction patients with hemiplegia after the poor psychological state, while helping to promote the patients' limb motor function and activities of daily living, and is worthy of promotion.

Key words: Key words: rehabilitation training; psychological intervention; cerebral infarction; hemiplegia; motor function

引用本文 / How to Cite This Article

李建华,陈兰,米康,张敏.康复训练结合心理干预对脑梗塞后偏瘫患者日常生活活动能力的影响[J]. 国际精神病学杂志, 2019, 46(1): 168-171

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