摘要
目的:探讨心理干预在脑卒中偏瘫患者肢体康复治疗中的作用及对日常生活活动能力(activities of daily living,ADL)的影响。方法:将62例脑卒中后偏瘫患者随机分为干预组和对照组,对照组采用常规康复治疗,干预组将心理干预贯穿于治疗的全过程,采取综合干预措施。对每例患者分别在入院时、第二周、第六周进行ADL的测试。结果:Barthel指数(BI)干预组分别为:(26.41±9.47),(43.28±12.32),(61.71±13.21)。对照组分别为(27.05±10.38),(42.51±13.21),(52.32±14.19)。第六周时ADL评定比较差异有显著意义(P>0.05)。结论:心理干预在脑卒中偏瘫患者的康复治疗中起到了至关重要的积极作用,增加了患者康复治疗的依从性,治疗效果明显提高。
Objective：To investigate the effect of psychological intervention in limbs and body rehabilitation treatment after stroke and its influence on the activities of daily living（ADL）.Methods：Sixty-two patients with poststroke hemiplegia were randomly divided into two groups.32 cases in the therapy group accepted psychological intervention during the whole treatment course and comprehensive intervention measures.30 cases in the control group were given only conventional rehabilitation therapy.Barthel index（BI） was estimated at the hospitalized time,2 weeks and 6 weeks after hospitalization.Results：BI at the three time points were 26.41±9.47,43.28±12.32 and 61.71±13.21 respectively in the interfention group,which in the control group were 27.05±10.38,42.51±13.21 and 52.32±14.19 respectively.The difference at 6 weeks between the two groups was significant（P0.05）.Conclusion：Psychological intervention plays an important role in the rehabilitation treatment of poststroke hemiplegia,increases the patient compliance and improves the curative effect.
出处
《现代医药卫生》
2011年第18期2770-2771,共2页
Journal of Modern Medicine & Health
关键词
心理干预
脑卒中
偏瘫
康复治疗
Psychological intervention
Stroke
Hemiplegia
Rehabilitation treatment
