积极心理干预结合循序渐进式康复训练对脑卒中后患者心境状态及康复情况的影响  

Effects of positive psychological intervention combined with progressive rehabilitation training on the mood state and rehabilitation of post-stroke patients

作　　者：杨柳 杨梅 YANG Liu;YANG Mei(Xi'an No.3 Hospital,Xi'an 710018;Xi'an TCM Hospital of Encephalopathy,Xi'an 710032,China)

机构地区：[1]西安市第三医院,陕西西安710018 [2]西安中医脑病医院,陕西西安710032

出　　处：《临床医学研究与实践》2023年第17期151-154,共4页Clinical Research and Practice

摘　　要：目的 分析积极心理干预结合循序渐进式康复训练对脑卒中后患者心境状态及康复情况的影响。方法选取2020年5月至2021年4月收治的80例脑卒中后患者,采用随机数字表法将其分为对照组与观察组,各40例。对照组采用常规护理干预,观察组在对照组基础上实施积极心理干预结合循序渐进式康复训练。比较两组的干预效果。结果 干预后,观察组的心境状态量表(POMS)各维度评分优于对照组(P<0.05)。干预后,观察组的Fugl-Meyer运动量表(FMA)、Barthel指数(BI)评分高于对照组(P<0.05)。干预后,观察组的神经生长因子(NGF)、人脑源性神经营养因子(BDNF)水平及简易精神状态量表(MMSE)评分均高于对照组(P<0.05)。观察组的住院时间、至负重站立时间、恢复正常行走时间均短于对照组(P<0.05)。结论 积极心理干预结合循序渐进式康复训练不仅能够改善脑卒中后患者心境状态、促进肢体功能恢复、提升认知水平,还能有效缩短患者康复时间。Objective To analyze the effects of positive psychological intervention combined with progressive rehabilitation training on the mood state and rehabilitation of post-stroke patients.Methods Eighty post-stroke patients admitted from May 2020 to April 2021 were selected and divided into control group and observation group by random number table method,with 40 cases in each group.The control group was given routine nursing intervention,and the observation group was given positive psychological intervention combined with progressive rehabilitation training on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of all dimensions of Profile of Mood States(POMS)in the observation group were better than those in the control group(P<0.05).After intervention,the Fugl-Meyer Assessment(FMA)and Barthel Index(BI)scores in the observation group were higher than those in the control group(P<0.05).After intervention,the levels of nerve growth factor(NGF),human brain-derived neurotrophic factor(BDNF)and Mini-Mental State Examination(MMSE)score in the observation group were higher than those in the control group(P<0.05).The hospitalization time,the time to weight bearing standing and restore normal walking time of the observation group were shorter than those of the control group(P<0.05).Conclusion Positive psychological intervention combined with progressive rehabilitation training can not only improve the mood state of post-stroke patients,promote the recovery of limb function and improve the cognitive level,but also effectively shorten the recovery time of patients.

关 键 词：积极心理干预 循序渐进式康复训练 脑卒中后 心境状态 

分 类 号：R473.74[医药卫生—护理学]