正念训练对中青年卒中后偏瘫患者病耻感和肢体运动功能的影响  

Influence of Mindfulness Training on Stigma and Limb Motor Function in Young and Middle-aged Patients with Post-stroke Hemiplegia

作　　者：闫晓云[1] 郭冬梅[1] 陈晓依 高岚 杨海燕[1] Yan Xiaoyun;Guo Dongmei;Chen Xiaoyi(Tai′an central hospital,tai ′an shandong 217000,China)

机构地区：[1]泰安市中心医院,山东泰安217000

出　　处：《齐鲁护理杂志》2020年第23期7-10,共4页Journal of Qilu Nursing

摘　　要：目的:探讨正念训练对中青年卒中后偏瘫患者病耻感和肢体运动功能的影响。方法:选取2019年1月1日~6月30日需要康复训练的中青年偏瘫患者,按照纳入标准和排除标准共选取71例患者,其中有3例脱落。采用随机数字表法将68例患者分为对照组和观察组各34例。对照组采用卒中常规护理和规范康复训练,观察组在卒中常规护理和规范康复训练基础上给予正念训练,两组均干预4周。采用五因素正念度量表(FFMQ)、脑卒中患者病耻感量表(SSS)和Fugl-Meyer运动功能评价量表(FMA)比较两组干预前后正念水平、病耻感及肢体运动功能。结果:干预后,观察组FFMQ中观察、描述、觉知行动、不判断和不行动5个因子得分和总分高于对照组(P<0.01,P<0.05);干预后,观察组SSS中身体障碍、社会交往、受歧视经历、自我感受维度得分和总分低于干预前和对照组(P<0.01,P<0.05);干预后,两组FMA评分高于干预前(P<0.01,P<0.05),且观察组高于对照组(P<0.05)。结论:正念训练能有效提高中青年偏瘫患者正念水平,降低病耻感,减轻患者心理压力,提高康复训练依从性,对肢体运动功能的恢复起到积极作用。Objective:To investigate the effect of mindfulness training on stigma and limb motor function in young and middle-aged patients with post-stroke hemiplegia.Methods:Young and middle-aged patients with hemiplegia who needed rehabilitation training from January 1,2019 to June 30,were selected.According to the inclusion and exclusion criteria,a total of 71 patients were selected,among which 3 patients fell off.Using random number table method,68 patients were divided into control group and observation group with 34 cases each.The control group received routine stroke care and standardized rehabilitation training,while the observation group received mindfulness training on the basis of routine stroke care and standardized rehabilitation training.Both groups were intervened for 4 weeks.The Five Facet Mindfulness Questionaire(FFMQ),the stroke patients′stigma Scale(SSS)and the Fugl-Meyer Assessment of Motor Function(FMA)were used to compare the levels of mindfulness,stigma and motor function of the two groups before and after the intervention.Results:After intervention,the score and total score of observation,description,perceptive action,non-judgment and non-action in FFMQ in the observation group were higher than those in the control group(P<0.01,P<0.05).After intervention,the SSS score and total score of physical impairment,social interaction,experience of discrimination and self-perception in the observation group were lower than those before intervention and the control group(P<0.01,P<0.05).After intervention,FMA of the two groups was higher than that before intervention(P<0.01,P<0.05),and the observation group was higher than the control group(P<0.05).Conclusion:Mindfulness training can effectively improve the level of mindfulness in young and middle-aged patients with hemiplegia,reduce stigma and psychological pressure,and enhance the compliance of rehabilitation training.It plays a positive role in the recovery of limb motor function.

关 键 词：正念训练 中青年 偏瘫 病耻感 肢体运动功能 

分 类 号：R473.54[医药卫生—护理学]