强化运动治疗对脑卒中偏瘫患者上肢功能恢复、生活质量及心理状态的影响

The Effect of Intensive Exercise Therapy on Upper Limb Function Recovery, Quality of Life, and Psychological Status in Patients with Hemiplegia after Stroke

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(6)
作者
作者单位

首都医科大学附属北京康复医院,社区康复中心 ;

摘要
【摘要】目的:探讨脑卒中偏瘫患者实施强化运动治疗对其心理、上肢功能、生活质量的改善效果。方法:于2019年12月-2022年12月采集病例资料入档,对象为脑卒中偏瘫患者,共计纳入150例,基于“简单随机化方法”1:1分组处理,划分为对照组(实行常规干预)与观察组(开展强化运动治疗),各组纳入75例;观察对比两组心理状态、肢体功能、生活质量。结果:干预后,两组焦虑自评量表(Self-Rating Anxiety Scale, SAS)评分、抑郁自评量表(Self-rating depression scale, SDS)评分均降低,且观察组较对照组更低(P<0.05);干预后,两组Fugl-meyer运动功能量表(FMA)评分均高于干预前,且观察组评分较对照组相对高(P<0.05);干预后,两组简易健康状况调查表(SF-36)评分均大幅度升高,其中观察组评分相对更高(P<0.05)。结论:强化运动治疗施于脑卒中偏瘫患者,有利于促进患者上肢功能恢复,并积极改善其焦虑抑郁等负性情绪,从而使患者生活质量得到大幅度提升,取得良好预后结果。
Abstract
Abstract: Objective: To explore the improvement effect of intensive exercise therapy on the psychological, upper limb function, and quality of life of stroke patients with hemiplegia. Method: Case data were collected and filed from December 2019 to December 2022, with a total of 150 stroke hemiplegic patients included. Based on the "simple randomization method" 1:1 grouping, the patients were divided into a control group (receiving routine intervention) and an observation group (receiving intensive exercise therapy), with 75 cases included in each group; Observe and compare the psychological status, limb function, and quality of life between the two groups. Result: After intervention, the scores of Self Rating Anxiety Scale (SAS) and Self Rating Depression Scale (SDS) in both groups decreased, and the observation group had lower scores than the control group (P<0.05); After intervention, the Fugl meyer motor function scale (FMA) scores of both groups were higher than before intervention, and the observation groups scores were relatively higher than the control group (P<0.05); After intervention, the scores of both groups on the Simplified Health Status Questionnaire (SF-36) significantly increased, with the observation group scoring relatively higher (P<0.05). Conclusion: Intensive exercise therapy applied to stroke patients with hemiplegia is beneficial for promoting the recovery of upper limb function and actively improving their negative emotions such as anxiety and depression, thereby significantly improving their quality of life and achieving good prognosis.
关键词
【关键词】强化运动治疗;脑卒中;偏瘫;上肢功能;生活质量;心理状态
KeyWord
Keywords: Intensive exercise therapy; Stroke; Hemiplegia; Upper limb function; Quality of life; Psychological state
基金项目
页码 1509-1511
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孙艺淼*. 强化运动治疗对脑卒中偏瘫患者上肢功能恢复、生活质量及心理状态的影响 [J]. 国际精神病学杂志. 2023; 50; (6). 1509 - 1511.

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