四肢联动联合心理护理对脑卒中偏瘫患者恢复期步行及焦虑抑郁的影响

Effect of limb linkage on walking and balance ability in patients with hemiplegia after stroke

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(6)
作者
作者单位

武汉市中心医院 护理康复科 ;
武汉市中心医院 康复科 ;
松滋市人民医院 骨科 ;

摘要
【摘要】目的研究处在恢复期的脑卒中偏瘫患者在采用四肢联动和心理护理后,对其步行和焦虑抑郁的影响。方法将收集到的80组患者随机分为两组,治疗组40例,对照组40例,对照组采用常规训练方法(Bobath技术和运动再学习为主的训练方法),治疗组才采用常规训练方法+四肢联动(Nustep T4)+心理护理训练方法。结果治疗后,在BBS、FMA-L、MWS、Holden积分,治疗组显著优于对照组,差异具有显著统计学意义(P<0.05);治疗后,对照组和治疗组的步行能力都有不同程度的提高(P<0. 05),但治疗组的效果优于对照组(P<0. 05)。进行心理干预后,治疗组焦虑中度与重度焦虑患者显著低于对照组,且治疗组中度与重度抑郁也显著低于对照组,差异具有统计学意义(P<0. 05)。结论四肢联动和心理护理有利于提高脑卒中恢复期偏瘫患者的步行能力,有效改善其焦虑与抑郁,值得在临床上推广。
Abstract
Abstract objective: The article was to study the effects of walking and balance on the stroke patients with hemiplegia and mental nursingafter the recovery period. Method: 80 groups of patients were randomly divided into two groups, 40 cases in the treatment group and 40 cases in the control group. Control group was using conventional training methods (Bobath technology and sports re learning based training method). The treatment group was trained by routine training method (T4 Nustep) and mental nursing. Results: In BBS, MWS, FMA-L, Holden score, after treatment and before treatment, the difference was statistically significant, the effect of the treatment group was significantly better than that of the control group (P<0.01). After treatment, the control group and the treatment group of walking ability have different levels of increase (P<0.05), but the effect of the treatment group is better than the control group (P<0.05).After psychological intervention, patients with moderate anxiety and severe anxiety in the treatment group were significantly less than that of the control group, and patients with moderate and severe depressionthe treatment group was significantly lower than the control group, and the difference was statistically significant (P<0. 05).Conclusion: Limb linkage and mental nursing are beneficial to improve the ability of walking in patients with hemiplegia after stroke. It is worthy to be popularized in clinic.The treatment group and the control group were all abnormal in EEG, CT, ECG and electrolyte, but the treatment group was significantly better than the control group.
关键词
【关键词】四肢联动;心理护理;脑卒中偏瘫患者;步行能力;焦虑抑郁
KeyWord
[Key words] limb linkage; mental nursing; stroke patients with hemiplegia; walking ability, anxiety and depression
基金项目
页码 1114-1117
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黄红,丁琳*,刘文露,赵奕. 四肢联动联合心理护理对脑卒中偏瘫患者恢复期步行及焦虑抑郁的影响 [J]. 国际精神病学杂志. 2017; 44; (6). 1114 - 1117.

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