摘要
目的:分析阶段性康复训练联合心理认知疗法在高血压脑出血偏瘫患者中的应用效果。方法:选取2018年4月~2021年7月期间我院收治的高血压脑出血偏瘫患者100例。根据双色球随机分组法将患者分为对照组(50例,常规治疗基础上接受阶段性康复训练)和观察组(50例,对照组基础上接受心理认知疗法)。对比两组干预4周后的临床总有效率,对比两组干预前、干预4周后的Fugl-Meyer量表(FMA)、日常生活能力量表(ADL)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、简明健康调查量表(SF-36)评分。结果:观察组的临床总有效率高于对照组(P<0.05)。干预4周后,两组HAMA、HAMD评分下降,且观察组低于对照组(P<0.05)。干预4周后,两组FMA、ADL评分升高,且观察组高于对照组(P<0.05)。干预4周后,两组总体健康、躯体疼痛、社会功能、生理职能、生理功能、情感职能、精神健康、活力评分均升高,且观察组高于对照组(P<0.05)。结论:阶段性康复训练联合心理认知疗法有助于提高高血压脑出血偏瘫患者肢体运动功能和日常生活功能,缓解抑郁焦虑情况,促进生活质量提高。
Objective:To analyze the effect of staged rehabilitation training combined with psychological cognitive therapy in hemiplegic patients with hypertensive intracerebral hemorrhage.Methods:100 hemiplegic patients with hypertensive intracerebral hemorrhage who were treated in our hospital from April 2018 to July 2021 were selected as the research objects.According to the two-color ball method,the patients were divided into control group(50 cases,stage rehabilitation training on the basis of routine treatment)and observation group(50 cases,psychological cognitive therapy on the basis of the control group).The total clinical effective rates of the two groups at 4 weeks after intervention were compared,and the Fugl-Meyer Assessment scale(FMA),activity of daily living scale(ADL),Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and Short-Form-36 Health Survey(SF-36)of the two groups before and 4 weeks after intervention were compared.Results:The total clinical effective rate of the observation group was higher than that of the control group(P<0.05).4 weeks after intervention,HAMD and HAMD scores of the two groups decreased,and those in the observation group were lower than those in the control group(P<0.05).4 weeks after intervention,the scores of FMA and ADL of the two groups increased,and the scores in the observation group were higher than those in the control group(P<0.05).4 weeks after intervention,the scores of overall health,physical pain,social function,role physical,physiological function,emotional function,mental health and vitality of two groups increased,and the scores in the observation group were higher than those in the control group(P<0.05).Conclusion:Staged rehabilitation training combined with psychological cognitive therapy can improve the motor function and daily life function of hemiplegic patients with hypertensive intracerebral hemorrhage,alleviate depression and anxiety,and improve the quality of life.
作者
陈游
文擘彬
戴携
周定洲
黄奇武
CHEN You;WEN Bo-bin;DAI Xie;ZHOU Ding-zhou;HUANG Qi-wu(Department of Neurosurgery,Changsha Fourth Hospital(Changsha Integrated Traditional Chinese and Western Medicine Hospital/Changsha Hospital Affiliated to Hunan Normal University),Changsha,Hunan,410006,China;Department of Neurosurgery,Hunan Provincial People’s Hospital,Changsha,Hunan,410000,China)
出处
《现代生物医学进展》
CAS
2022年第12期2392-2396,共5页
Progress in Modern Biomedicine
基金
湖南省卫健委科研基金项目(c2016105)。
关键词
阶段性康复训练
心理认知疗法
高血压脑出血
偏瘫
Staged rehabilitation training
Psychological cognitive therapy
Hypertensive intracerebral hemorrhage
Hemiplegic
