河北医科大学学报

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集体康复训练对卒中后焦虑抑郁情绪及日常生活活动能力的影响

  

  1. 1.河北省石家庄市第一医院康复医学科,河北 石家庄 050011;2.河北医科大学第三医院骨科中心,河北 石家庄 050051
  • 出版日期:2016-09-25 发布日期:2016-09-28
  • 作者简介:马将(1982-),男,山西朔州人,河北省石家庄市第一医院主治医师,医学博士研究生,从事脑老化与认知功能障碍疾病诊治研究。
  • 基金资助:
    河北省医学科学研究重点课题(ZL20140240;20150902)

Effect of group rehabilitation therapy on anxiety, depression and ADL for patients with hemiplegia following stroke

  1. 1.Department of Rehabilitation Medicine, the First Hospital of Shijiazhuang City, Hebei Province,
    Shijiazhuang 050011, China; 2.Department of Orthopedic Center, the Third Hospital of
    Hebei Medical University, Shijiazhuang 050051, China
  • Online:2016-09-25 Published:2016-09-28

摘要: [摘要] 目的 观察集体康复训练后脑卒中偏瘫患者焦虑抑郁情绪及日常生活活动能力( activitiesofdaily
living , ADL )的改善情况,为探究偏瘫康复提供新的思路。方法 收集脑卒中偏瘫患者 80
例,按照随机数字表法分
为观察组和对照组各 40 例,干预 4 周后观察组丢失 2 例为 38 例,对照组丢失 5 例为 35 例。 2 组均给予康复科常
规护理及宣教,对照组采用常规康复训练,而观察组采用集体康复训练。干预 4 周后,评价并比较 2 组焦虑和抑郁
发病率及 ADL 评分。结果 观察组干预后焦虑和抑郁发病率较对照组明显减少( P <0.05 );干预后 2 组 ADL 评分
均较干预前明显升高( P >0.05 ),但观察组升高幅度大,干预后观察组 ADL 评分明显高于对照组,差异有统计学意
义( P <0.01 )。结论 4 周集体康复训练能够明显改善患者焦虑抑郁情绪,提高
ADL 。集体康复训练模式是实用、
有效的治疗措施,并且为患者提供了一种积极、愉悦、丰富的康复环境,为脑卒中康复提供了新思路

关键词: 偏瘫, 康复, 焦虑, 抑郁

Abstract: [
Abstract ] Objective Toexploretheeffectsofgrouprehabilitationtherapyonanxietyand
depression , aswellasactivitiesofdailyliving ( ADL ) forpatientswithhemiplegiafollowing
stroke.Methods Eightypatientsfollowingstrokewithhemiplegiawerecollected.Theywere
dividedintoobservationgroup ( 40cases ) andcontrolgroup ( 40cases ) bytherandom number
table.Afterfourweeksintervention , observationgrouplost2patients , controlgrouplost5
patients.All patients received rehabilitation nursing and education.Control group with
conventionalrehabilitationtraining , butexperimentalgrouppatientsreceivedgrouprehabilitation
therapyforfourweeks.Then , afterfourweeks , anxietyanddepressionaswellasADLscore
werecompairedbetweentwogroups.Results Inobservationgroup , themoodofanxietyand
depressionweresignificantimprovementafterintervention ( P <0.05 ) .Thescoreofdailylife
activityaftertheinterventioninthetwogroupswereobviouslyhigherthanthatbeforethe intervention ( P <0.05 ) .Thescoreofdailylifeactivityaftertheinterventionintheobservation
groupwasobviouslyhigherthanthatofcontrolgroup ( P <0.01 ) .Conclusion Fourweeksgroup
rehabilitationtherapycansignificantlyimprovepatients'anxietyanddepressionaswellasimprove
theADL.Grouprehabilitationtherapyisapracticalandeffectivetreatment , andprovides
patientswithapos