共情疗法联合强化运动疗法对青年脑卒中后偏瘫患者自尊水平、心理状态、社会功能的影响  

Effects of empathy therapy combined with intensive exercise therapy on self-esteem level,psychological states and social function of young patients with hemiplegia after stroke

作　　者：薛芬[1] 鲁娟娟[1] 杨付莲[1] 薛峰 王亚 XUE Fen;LU Juanjuan;YANG Fulian(Nanyang First People’s Hospital,Nanyang 473000,China)

机构地区：[1]河南省南阳市第一人民医院,473000 [2]南阳市宛城区防疫站

出　　处：《中国健康心理学杂志》2021年第8期1179-1184,共6页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划项目(编号:201803218)。

摘　　要：目的:探究共情疗法联合强化运动疗法对青年脑卒中后偏瘫患者自尊水平、心理状态、社会功能的影响。方法:将210例青年脑卒中后偏瘫患者,按随机数字表法均分为两组,单一组(n=105)予以强化运动疗法干预,联合组(n=105)予以共情疗法+强化运动疗法干预。于干预前、干预6周后,比较两组患者肢体功能、日常生活能力、自尊水平、心理状态以及社会功能的变化情况。结果:干预6周后,单一组FMA上肢运动功能(t=5.56,P<0.001)、FMA下肢运动功能(t=6.96,P<0.001)低于联合组;单一组患者干预后的Barthel指数评分显著低于联合组(t=3.093,P<0.01);单一组SES评分显著低于单一组(t=9.790,P<0.001);单一组SDS评分(t=5.901,P<0.001)显著高于联合组;单一组PSP评分(t=8.510,P<0.001)显著低于联合组,SAFE评分(t=10.01,P<0.001)显著高于联合组。结论:共情疗法联合强化运动疗法干预可显著改善青年脑卒中后偏瘫患者肢体运动功能、平衡功能,提高患者日常生活能力与自尊水平,改善心理状态,增强社会功能。Objective:To explore the effects of empathy therapy combined with intensive exercise therapy on self-esteem level, psychological states and social function of young patients with hemiplegia after stroke.Methods:A total of 210 young patients with hemiplegia after stroke were divided into two groups according to the random number table method.Single group(n=105)was given intensive exercise therapy intervention, and combined group(n=105)was given empathy therapy + intensive exercise therapy intervention.Before intervention and after 6 weeks of intervention, the changes of limb function, daily living ability, self-esteem level, psychological states and social function were compared between the two groups.Results:After 6 weeks of intervention, the scores of FMA upper extremity motor function(t=5.56,P<0.001),FMA lower extremity motor function(t=6.96,P<0.001) in single group were significantly lower than combined group.After intervention, the Barthel index score in single group was significantly lower than that in combined group(t=3.093,P<0.01);SES score(t=9.790,P<0.001)and SDS score(t=5.901,P<0.001)in single group was significantly higher than that in combined group.PSP score(t=8.510,P<0.001)in single group was significantly lower than that in the combined group, and SAFE score(t=10.01,P<0.001)in single group was significantly higher than that in combined group.Conclusion:Empathy therapy combined with intensive exercise therapy can significantly improve the limb motor function and balance function of young patients with hemiplegia after stroke, improve the daily living ability and self-esteem level, promote the psychological states and enhance the social function.

关 键 词：共情疗法 强化运动疗法 青年 脑卒中 偏瘫 

分 类 号：R749.92[医药卫生—神经病学与精神病学]