运动疗法联合心理治疗对脑卒中伴睡眠障碍患者睡眠质量的影响  

Effects of exercise therapy combined with psychotherapy on sleep quality in patients with stroke and sleep disorder

作　　者：倪小红[1] 吕衍文 蔡炜琼 徐娟娟[1] 王荣[1] 詹浩东 NI Xiaohong;LV Yanwen;CAI Weiqiong(Huanggang Central Hospital,Huanggang 438000,China)

机构地区：[1]黄冈市中心医院,黄冈438000

出　　处：《国际精神病学杂志》2020年第6期1190-1192,共3页Journal Of International Psychiatry

摘　　要：目的探讨运动疗法联合心理治疗对脑卒中伴睡眠障碍患者的日常生活活动能力和睡眠质量的影响。方法选取2019年4月~2020年4月我院收治的脑卒中伴睡眠障碍患者82例为研究对象,应用随机数字表法将其分为研究组和对照组,每组各41例。对照组采用运动疗法进行康复治疗,研究组在对照组基础上联合心理治疗。观察比较两组患者治疗前后的Barthel指数评定量表、匹茨堡睡眠质量指数量表(PSQI)评分以及睡眠状况自评量表(SRSS)评分。结果(1)治疗后,两组患者的Barthel指数评分较前明显升高,且研究组评分明显高于对照组(P<0.05)。(2)治疗后,两组患者的PSQI评分与SRSS评分较前明显降低,且研究组评分明显低于对照组(P<0.05)。结论运动疗法联合心理治疗对脑卒中伴睡眠障碍患者效果显著,能有效改善患者睡眠质量,提高其日常生活活动能力,有利于患者早日康复,值得临床推广应用。Objective To investigate the effects of exercise therapy combined with psychotherapy on daily activity and sleep quality in patients with stroke and sleep disorder. Methods A total of 82 patients with stroke and sleep disorder admitted to our hospital from April 2019 to April 2020 were selected as study subjects. They were divided into study group and control group by random number table method,with 41 patients in each group. The control group was treated with exercise therapy,and the study group was combined with psychotherapy on the basis of control group. Barthel index rating scale,pittsburgh sleep quality index(PSQI)score and the sleep status self-rating scale(SRSS)score between the two groups before and after treatment were compared. Results (1)Compared with before treatment,the Barthel index score in the two groups was higher after treatment(P<0.05),and the score in the study group was higher than that in the control group(P<0.05).(2)Compared with before treatment,the PSQI score and SRSS score in the two groups was lower after treatment(P<0.05),and the scores in the study group was lower than that in the control group(P< 0.05). Conclusion Exercise therapy combined with psychotherapy has a significant effect on patients with stroke and sleep disorder,improve their sleep quality and ability of daily activities,which is conducive to the recovery of patients,and is worthy of clinical application.

关 键 词：脑卒中 睡眠障碍 运动疗法 心理治疗 

分 类 号：R749.2[医药卫生—神经病学与精神病学]