运动性引导想象训练在脑卒中患者中的效果研究  

Effect of Exercise-Guided Imagination Training Combined with Sleep Management in Stroke Patients

作　　者：田红梅[1] 杜晔琳 蒋待捷 Tian Hongmei;Du Yelin;Jiang Daijie(Zhengzhou First People's Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省郑州市第一人民医院,郑州450000

出　　处：《健康教育与健康促进》2021年第3期314-316,共3页Health Education and Health Promotion

基　　金：河南省医学科技攻关计划项目(LHGJ20190990)。

摘　　要：目的探究运动性引导想象训练联合睡眠管理,对于改善脑卒中恢复期患者睡眠质量的效果及对疲乏程度、疼痛感的影响。方法选取郑州市第一人民医院2018年6月-2020年6月收治的91例脑卒中恢复期睡眠障碍患者作为研究对象。常规组45例给予睡眠管理干预,干预组的46例在此基础上增加联合运动性引导想象训练。比较两组患者的睡眠指标、疲乏程度、疼痛感。结果干预组在干预后1个月末的睡眠总时间、睡眠效率水平高于常规组,觉醒次数、睡眠潜伏期水平均低于常规组(P<0.05)。两组患者干预后第1、5个周末BFI及VAS评分较干预前均降低,且干预组低于常规组(P<0.05)。结论运动性引导想象训练联合睡眠管理干预通过降低交感神经兴奋性,可以减轻脑卒中恢复期睡眠障碍患者的疲乏状态,调控睡眠指标,降低疼痛感,提高临床疗效。Objective To explore the effect of exercise-guided imagination training combined with sleep management on improving sleep quality, fatigue and pain of stroke patients in recovery period. Methods From June 2018 to June 2020, a total of 91 patients with sleep discorders in stroke recovery period were selected as the research objects. 45 patients in the conventional group were given the sleep management intervention, and 46 patients in the intervention group were given the combined exercise-guided imagination training on this basis. The sleep indexes, fatigue degree and pain of the two groups were compared. Results The total sleep time and sleep efficiency of the intervention group at the end of the first month were higher than those of the conventional group, and the awakening times and sleep latency of the intervention group were lower than those of the conventional group(P< 0.05). The BFI and VAS scores of the two groups at the end of 1 and 5 weeks after intervention were lower than those before intervention, and the intervention group was lower than the conventional group(P< 0.05). Conclusion Exercise guided imagination training combined with sleep management intervention can reduce the fatigue state of sleep discorders patients with stroke recovery by reducing sympathetic excitability, regulate sleep indexes, reduce pain and improve clinical efficacy.

关 键 词：睡眠管理 脑卒中 睡眠障碍 疲乏程度 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]