运动想象疗法对脑卒中偏瘫患者上肢功能康复、睡眠障碍及心理状态的影响  

The Effect of Exercise Imagination Therapy on Upper Limb Function Rehabilitation,Sleep Disorders,and Psychological Status in Patients with Hemiplegia after Stroke

作　　者：任玉 许亮 任莎莎 崔璨[1] 严永文 周末 许严奎 REN Yu;XU Liang;REN Shasha(Department of Rehabilitation Medicine Nanjing First Hospital Nanjing Medical University,Nanjing 210000,China)

机构地区：[1]南京市第一医院康复医学科,南京210000

出　　处：《国际精神病学杂志》2024年第5期1533-1535,1542,共4页Journal Of International Psychiatry

摘　　要：目的 探讨脑卒中偏瘫患者开展运动想象疗法的上肢功能康复效果及对心理和睡眠的影响。方法 于2020年10月~2022年10月采集病例资料入档,对象为医院收治的脑卒中偏瘫患者,共计122例,基于“随机数字表法”1:1分组,划分为对照组(予以常规康复训练)与观察组(常规康复训练+运动想象疗法),各组均纳入61例;观察对比两组负性情绪、心理弹性、睡眠质量、上肢功能。结果 干预后,两组焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-Rating Depression Scale,SDS)评分均降低,且观察组较对照组更低(P<0.05);观察组心理弹性量表(Connor Davidson-Resilience scale,CD-RISC)评分高于对照组(P<0.05);干预后,两组匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分均降低,且观察组评分更低(P<0.05);干预后,两组Fugl-Meyer运动功能评定量表(Fugl-Meyer assessment,FMA)评分均高于干预前,且观察组评分较对照组相对高(P<0.05)。结论 脑卒中偏瘫患者康复中开展运动想象疗法,可提高上肢功能康复效果,同时可缓解患者焦虑抑郁情绪、提高心理弹性并改善睡眠质量。Objective To explore the rehabilitation effect of motor imagery therapy on upper limb function and its impact on psychology and sleep in stroke patients with hemiplegia.Methods Case data were collected and recorded from October 2020 to October 2022.A total of 122 stroke hemiplegic patients admitted to the hospital were divided into a control group(receiving routine rehabilitation training)and an observation group(receiving routine rehabilitation training+motor imagery therapy)based on the "Random number table method" 1:1 grouping.61 cases were included in each group;Observe and compare the negative emotions,psychological resilience,sleep quality,and upper limb function between the two groups.Results After intervention,the scores of Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)in both groups decreased,and the observation group had lower scores than the control group(P<0.05).The Connor Davidson Resilience Scale(CD-RISC)score in the observation group was higher than that in the control group(P<0.05).After intervention,the Pittsburgh Sleep Quality Index(PSQI)scores in both groups decreased,and the observation group had a lower score(P<0.05).After intervention,the Fugl Meyer Motor Function Assessment(FMA)scores of both groups were higher than before intervention,and the observation group scored relatively higher than the control group(P<0.05).Conclusion Conducting motor imagery therapy in the rehabilitation of stroke patients with hemiplegia can improve the rehabilitation effect of upper limb function,alleviate anxiety and depression,improve psychological resilience,and improve sleep quality.

关 键 词：运动想象疗法 脑卒中偏瘫 上肢功能 睡眠障碍 心理状态 

分 类 号：R749.99[医药卫生—神经病学与精神病学]