音乐放松运动结合运动想象疗法对脑卒中偏瘫患者心理状况及功能状态的影响研究

Research on the effect of music relaxation exercise combined with motor imagery therapy on psychological status and functional status in patients with hemiplegia after stroke

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(4)
作者
作者单位

山东省青岛市市立医院东院神经内科 ;
山东省青岛市市立医院血液净化中心 ;
山东省青岛市市立医院东院神经内1科 ;
山东省青岛市市立医院神经内科 ;

摘要
【摘要】观察音乐放松运动疗法(MRT)结合运动想象疗法(MIT)对脑卒中偏瘫患者心理状况及功能状态的影响。方法 选取86例脑卒中偏瘫患者随机分为观察组与对照组,各43例。对照组予以常规康复治疗及护理,观察组在对照组基础上采用MRT结合MIT。比较两组干预8周后Barthel指数(BI)、Fugl-Meyer量表(FMA)、功能性步行分级量表(FAC)、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分。结果 干预后两组的SAS及SDS评分均显著降低,且观察组显著低于对照组(P<0.05);两组BI、FMA及FAC评分均显著提高,且观察组显著高于对照组(P<0.05)。结论 MRT结合MIT能够有效减轻脑卒中偏瘫患者的焦虑、抑郁情绪,改善患者的运动功能及生活能力,促进患者的身心康复。
Abstract
【Abstract】 Objective To observe the effect of music relaxation exercise therapy (MRT) combined with motor imagery therapy (MIT) on psychological status and functional status in patients with hemiplegia after stroke. Methods Eighty-six patients with hemiplegia after stroke were enrolled,patients were randomly divided into observation group and control group,43 cases in each group.The control group was given conventional rehabilitation and care,the observation group was given MRT and MIT on the basis of control group.The scores of Barthel index (BI), Fugl-Meyer Assessment (FMA),Functional Ambulation Category Scale (FAC), Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) between the two groups were compared after 8 weeks of intervention. Results After intervention,the scores of SAS and SDS in the two groups were significantly decreased,and those in the observation group were significantly lower than the control group (P<0.05);The scores of BI, FMA and FAC were significantly increased, and those in the observation group were significantly higher than the control group (P<0.05). Conclusion MRT combined with MIT can effectively reduce the anxiety and depression, improve the motor function and daily living ability of patients with hemiplegia after stroke, and can promote the physical and mental rehabilitation.
关键词
【关键词】脑卒中;偏瘫;音乐放松疗法;运动想象疗法;心理状态;功能状态
KeyWord
【Key words】 Stroke; Hemiplegia; Music relaxation therapy; Motor imagery therapy; Psychological status; Functional status
基金项目
页码 765-768
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张莉,杨琳,谭诺,闫慧,武薇*. 音乐放松运动结合运动想象疗法对脑卒中偏瘫患者心理状况及功能状态的影响研究 [J]. 国际精神病学杂志. 2017; 44; (4). 765 - 768.

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