| 摘要 |
【摘要】目的：探讨脑梗塞患者开展心理治疗与功能锻炼对预后的改善效果。方法：采集2020年1月-2022年12月时段病例资料展开研究，入选对象为医院收治的脑梗塞患者，共计纳入40例，根据干预方法的不同分组，划分为对照组（实行常规干预）与观察组（实行心理治疗联合功能锻炼），各组纳入20例；观察对比两组心理状态、心理弹性、肢体功能和日常生活能力、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，其中观察组更低（P＜0.05）；干预后，两组心理韧性量表(Connor-Davidson resilience scale, CD-RISC)评分均升高，其中观察组更高（P＜0.05）；干预后，两组患者的Fugl-meyer运动功能量表(Fugl-Meyer Assessment, FMA)、日常生活活动能力量表(Activities of Daily Living, ADL)评分升高，且观察组较对照组评分更高（P＜0.05）；干预后，两组生活质量综合评定问卷(Generic Quality of Life Inventory-74, GQOLI-74)评分均呈不同程度升幅，且观察组较对照组升幅更大（P＜0.05）。结论：心理治疗和功能锻炼实施于脑梗塞患者，可显著消除患者负性情绪、提高心理弹性，同时促进肢体功能和日常生活能力提高，全面改善其生活质量。
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| Abstract |
[Abstract] Objective: To explore the improvement effect of psychological therapy and functional exercise on prognosis in patients with cerebral infarction. Methods: Case data from January 2020 to December 2022 were collected for the study. Forty patients with cerebral infarction admitted to the hospital were included in the study. According to different intervention methods, they were divided into a control group (receiving routine intervention) and an observation group (receiving psychological therapy combined with functional exercise), with 20 cases included in each group; Observe and compare the psychological status, psychological resilience, limb function, daily living ability, and quality of life between two groups. Results: After intervention, the scores of Self Rating Anxiety Scale (SAS) and Self Rating Depression Scale (SDS) decreased in both groups, with the observation group having a lower score (P<0.05); After intervention, both groups showed an increase in the Connor Davidson Resilience Scale (CD-RISC) scores, with the observation group having a higher score (P<0.05); After intervention, the Fugl Meyer Assessment (FMA) and Activities of Daily Living (ADL) scores of the two groups of patients increased, and the observation group had higher scores than the control group (P<0.05); After intervention, the scores of the General Quality of Life Inventory-74 (GQOLI-74) showed varying degrees of increase in both groups, and the observation group showed a greater increase than the control group (P<0.05). Conclusion: The implementation of psychotherapy and functional exercise in patients with cerebral infarction can significantly eliminate negative emotions, improve psychological resilience, and promote the improvement of limb function and daily living ability, comprehensively improving their quality of life.
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