心理认知干预辅助综合性康复训练对高血压脑出血后偏瘫患者心理状态和肢体功能恢复的影响  

Effects of Psychological Cognitive Intervention Assisted Comprehensive Rehabilitation Training on Psychological Status and Limb Function Recovery in Patients with Hemiplegia after Hypertensive Intracerebral Hemorrhage

作　　者：付移妹 张贤明[1] 冯春梅 FU Yimei;ZHANG Xianming;FENG Chunmei(Department of Rehabilitation, Chongzhou People＇s Hospital , Chongzhou 611230, China)

机构地区：[1]四川省崇州市人民医院康复科

出　　处：《中国健康心理学杂志》2018年第6期859-862,共4页China Journal of Health Psychology

摘　　要：目的：探讨心理认知干预辅助综合性康复训练对高血压脑出血后偏瘫患者心理状态和肢体功能恢复的影响。方法：选取2014年4月-2017年4月本院收治的高血压脑出血后偏瘫患者96例为研究对象,按照入院顺序编号,依据随机数字表法随机分为观察组（n=48）和对照组（n=48）。对照组术后常规治疗,观察组在对照组基础上进行心理认知干预和综合性康复训练。比较两组临床疗效,干预前后汉密尔顿抑郁量表（HAMD）和汉密尔顿焦虑量表（HAMD）评分,干预前后Fugl-Meyer运动评定量表评分、Barthel指数评分以及SF-36生活质量量表评分。结果：观察组治疗总有效率为93.75%,显著高于对照组的79.17%（χ2=4.36,P〈0.05）;干预后,观察组HAMD评分显著低于对照组（t=-5.83,P〈0.05）,观察组HAMA评分显著低于对照组（t=-4.02,P〈0.05）;干预后,观察组Fugl-Meyer评分为显著高于对照组（t=9.70,P〈0.05）,观察组Barthel评分显著高于对照组（t=6.31,P〈0.05）;干预后,观察组SF-36量表中躯体功能、躯体角色、社会功能、情绪角色、活力以及总体健康评分均显著高于对照组（t=8.31,8.79,9.31,5.81,6.66,8.43;P〈0.05）。结论：心理认知干预辅助综合性康复训练可明显改善高血压脑出血后偏瘫患者心理状态,促进患者肢体功能恢复,提高日常生活能力和生活质量。Objective：To explore the effects of psychological cognitive intervention with comprehensive rehabilitation training on psychological status and limb function recovery in patients with hemiplegia after hypertensive intracerebral hemorrhage.Methods：A total of 96 cases of patients with hemiplegia after hypertensive intracerebral hemorrhage treated in our hospital from April 2014 to April 2017 were selected for the study and numbered by admission sequence,and then divided into the observation group（n=48）and the control group（n=48）according to the random number table method.The control group was treated with postoperative routine therapy,and the observation group was given psychological cognitive intervention combined with comprehensive rehabilitation training on the basis of treatment in the control group.The clinical efficacy,the Hamilton Depression Scale（HAMD）score and Hamilton Anxiety Scale（HAMD）score before and after intervention,the Fugl-Meyer motor assessment rating scale score,Barthel indexes scores and SF-36 quality of life rating scale score were compared between the two groups.Results：The total effective rate of the observation group was significantly higher than that of the control group（93.75%vs.79.17%）（χ2=4.36,P〈0.05）.After intervention,the HAMD score and the HAMA score were（7.17±3.31）points and（8.17±2.73）points in the observation group,which were significantly lower than those in the control group（t=-5.83,-4.02;P〈0.05）.After intervention,the Fugl-Meyer score and the Barthel score were（66.38±7.12）points and（73.56±7.35）points in the observation group,which were significantly higher than those in the control group（t=9.70,6.31;P〈0.05）.After treatment,the scores of somatic function,somatic characters,social function,emotional roles,vitality and overall health in the SF-36 scale were significantly higher in the observation group than the control group（t=8.31,8.79,9.31,5.81,6.66,8.43;P〈0.05）.Conclusion：Psychological cognitive intervention

关 键 词：心理认知干预 康复训练 高血压脑出血 偏瘫 心理状态 肢体功能 

分 类 号：R395.9[哲学宗教—心理学]