团体沙盘游戏对脑梗死患者康复效果的影响  

Effect of group sandtable game on rehabilitation effect of patients with cerebral infarction

作　　者：徐晓红 沈敏 魏居瑞 XU Xiaohong;SHEN Min;WEI Jurui(Department of Neurology,Hangzhou Medical College Affiliated Lin’an People’s Hospital,Zhejiang Province,Hangzhou311300,China;Department of Rehabilitation,Hangzhou Medical College Affiliated Lin’an People’s Hospital,Zhejiang Province,Hangzhou311300,China)

机构地区：[1]杭州医学院附属临安人民医院神经内科,浙江杭州311300 [2]杭州医学院附属临安人民医院康复科,浙江杭州311300

出　　处：《中国医药导报》2023年第19期182-185,共4页China Medical Herald

基　　金：浙江省医药卫生科技计划项目(2022KY1071)。

摘　　要：目的探讨团体沙盘游戏对脑梗死患者康复效果的影响。方法选取2021年9月至2022年8月在杭州医学院附属临安人民医院进行治疗的268例脑梗死患者作为研究对象,根据随机数字表法将其分为对照组与观察组,各134例。对照组进行常规康复,观察组在对照组的基础上加以团体沙盘游戏。比较两组治疗前、治疗3个月后的手功能评分、Barthel指数评分、焦虑自评量表评分、抑郁自评量表评分及依从性。结果治疗后,两组手功能评分高于治疗前,且观察组高于对照组(P<0.05);治疗后,两组Barthel指数评分高于治疗前,且观察组高于对照组(P<0.05);两组焦虑自评量表、抑郁自评量表评分均低于治疗前,且观察组低于对照组(P<0.05);观察组依从性优于对照组(P<0.05)。结论脑梗死患者进行团体沙盘游戏能够有效提高康复训练的效果,值得推广使用。Objective To study the rehabilitation effect of group sandtable game on rehabilitation effect of patients with cerebral infarction.Methods A total of 268 patients with cerebral infarction who received treatment in Hangzhou Medical College Affiliated Lin’an People’s Hospital from September 2021 to August 2022 were selected as study subjects.They were randomly divided into control group and observation group,with 134 cases in each group.The patients in the control group received routine rehabilitation,and the patients in the observation group received group sandtable game on the basis of the control group.The hand function score,Barthel index score,self-rating anxiety scale score,self-rating depression scale score,and compliance were compared between the two groups before and after treatment for three months.Results After treatment,the hand function score of the two groups was higher than that before treatment,and the observation group was higher than the control group(P<0.05);after treatment,Barthel index scores in both groups were higher than before treatment,and that of the observation group was higher than control group(P<0.05);the scores of self-rating anxiety scale and self-rating depression scale in both groups were lower than before treatment,and that of the the observation group was lower than the control group(P<0.05);the compliance of observation group was better than that of control group(P<0.05).Conclusion Group sandtable game for patients with cerebral infarction can effectively improve the effect of rehabilitation training and is worthy of promotion.

关 键 词：团体沙盘游戏 脑梗死 自我效能 神经功能 

分 类 号：R473[医药卫生—护理学]