摘要
目的探讨心理弹性支持联合目标设置康复训练对脑卒中偏瘫患者语言、运动功能的影响。方法选取2018年12月—2020年3月医院脑卒中偏瘫患者86例为研究对象,按照组间基本特征匹配原则分为对照组与观察组,每组43例。对照组实施目标设置康复训练,观察组在对照组基础上采用心理弹性支持,比较两组干预前后的心理状态、语言功能以及运动功能等指标。结果干预前,两组焦虑、抑郁自评量表(SAS、SDS)评分比较差异无统计学意义(P>0.05);干预后,观察组SAS、SDS量表评估得分低于对照组,组间比较差异有统计学意义(P<0.05)。干预前,两组汉语失语检查表(ABC)、FuglMeyer(FMA)标准测评得分比较差异无统计学意义(P>0.05);干预后,观察组ABC、FMA得分明显高于对照组,差异有统计学意义(P<0.05)。结论心理弹性支持联合目标设置康复训练,能明显改善脑卒中偏瘫患者的心理状态,促进其语言功能、运动功能的恢复,有利于改善疾病预后。
Objective To explore the effect of psychological resilience support combined with goal setting rehabilitation training on the language and motor function of stroke patients with hemiplegia.Methods A total of 86 patients with stroke and hemiplegia in hospital from December 2018 to March 2020 were selected as the study objects,and they were divided into a control group and an observation group according to the principle of matching basic characteristics between groups,with 43 cases in each group.The control group implemented goal setting rehabilitation training,and the observation group used psychological resilience support on the basis of the control group to compare the indexes,such as psychological state,language function and motor function of the two groups before and after the intervention.Results Before the intervention,there was no statistically significant difference in the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores between the two groups(P>0.05).After the intervention,the SAS and SDS scores in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the standard test scores of the Chinese aphasia checklist(ABC)and Fugl-Meyer(FMA)between the two groups(P>0.05).After the intervention,the ABC and FMA scores in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of psychological resilience support combined with goal setting rehabilitation training can significantly improve the psychological state of stroke patients with hemiplegia,promote the recovery of their language and motor functions,and help improve the prognosis of the disease.
作者
岳源
李迎
田会丽
YUE Yuan;LI Ying;TIAN Huili(Liaocheng People’s Hospital,Liaocheng 252000,China)
出处
《护理实践与研究》
2021年第6期796-799,共4页
Nursing Practice and Research
基金
聊城市自选课题(编号:聊字2020-176号)。
关键词
脑卒中
偏瘫
心理弹性支持
语言功能
运动功能
Stroke
Hemiplegia
Psychological resilience support
Language function
Motor function
