摘要
目的研究基于"感觉"为先导的训练模式对脑卒中患者上肢功能和生活质量的影响.方法选取2020年1月—2021年1月上海市普陀区人民医院收治的106例脑卒中患者为研究对象,根据随机数字表法分为两组.对照组53例采用常规训练干预,观察组53例采用基于"感觉"为先导的训练模式.比较两组患者训练前后的Fugl-Meyer运动功能评定量表(FMA)、临床痉挛指数量表(CSI)、健康调查简表-36(SF-36)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分、干预总满意率.结果训练前,两组FMA、CSI、SF-36、SDS、SAS评分比较,组间差异无统计学意义(P>0.05);训练6周后,两组FMA、SF-36评分均高于训练前,CSI、SDS、SAS评分均低于训练前,且观察组FMA、SF-36评分均高于对照组,CSI、SDS、SAS评分均低于对照组,组间差异有统计学意义(P<0.05).观察组干预总满意率96.23%高于对照组的81.13%,差异有统计学意义(P<0.05).结论将基于"感觉"为先导的训练模式应用于脑卒中患者中,利于提高其上肢功能,缓解痉挛情况,有效改善患者的生活质量,且在改善负面情绪方面的作用显著,利于提高患者的干预满意度,值得推广.
Objective To study the effect of training mode based on"feeling"as the forerunner on the upper limb function and life quality in patients with stroke.Methods A total of 106 patients with stroke treated in People's Hospital of Putuo District of Shanghai City from January 2020 to January 2021 were selected as the research objects and divided into two groups according to the random number table method.The control group of 53 cases received routine training intervention,while the observation group of 53 cases received training mode based on"feeling"as the forerunner.The Fugl-Meyer assessment(FMA),clinic spastcity index(CSI),the MOS item short from health survey(SF-36),self-rating depression scale(SDS),self-rating anxiety scale(SAS)scores,total satisfaction rate of intervention were compared between the two groups.Results Before training,there were no significant differences in the FMA,CSI,SF-36,SDS and SAS scores between the two groups(P>0.05);after 6 weeks of training,the FMA and SF-36 scores in the two groups were higher than those before training,CSI,SDS and SAS scores were lower than those before training,and the FMA and SF-36 scores of the observation group were higher than those of the control group,and the CSI,SDS and SAS scores were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).The total satisfaction rate of intervention 96.23%in the observation group was higher than 81.13%in the control group,and the difference was statistically significant(P<0.05).Conclusion Applying the training mode based on"feeling"as the forerunner to the patients with stroke is beneficial to improve their upper limb function,relieve spasticity,effectively improve the patients'quality of life,and has a significant effect on improving negative emotions,which is beneficial to improve patients'satisfaction.It is worth popularizing.
作者
陈缪存
聂亚雄
郝又国
CHEN Miucun;NIE Yaxiong;HAO Youguo(Hengyang Medical College,University of South China,Hengyang Hunan,421001,China;Department of Rehabilitation,People's Hospital of Putuo District of Shanghai City,Shanghai,200060,China;Department of Neurology,the First Affiliated Hospital,University of South China,Hengyang Hunan,421001,China)
出处
《反射疗法与康复医学》
2022年第12期81-83,88,共4页
Reflexology And Rehabilitation Medicine
