摘要
目的:探讨认知行为疗法对脑卒中患者偏瘫肢体康复的影响。方法:将我科脑出血(≤5ml)27例和脑缺血33例住院患者,随机分为观察组和研究组各30例,两组药物治疗及常规护理相同,对研究组同时实施认知干预1周、行为干预2周,在治疗前及治疗后2周和4周用汉密尔顿抑郁量表(HAMD)、FMA运动评分进行测评,观察两组效果。结果:认知心理干预后研究组偏瘫肢体功能康复较干预前显著提高,优于对照组。结论:认知行为疗法促进脑卒中患者偏瘫肢体康复有临床实效性。
Objective： To discuss the effect of cognitive behavioral therapy on the hemiplegia limbs rehabilitation in patients with cerebral apoplexy. Methods： 27 cases of patients whose cerebral hemorrhage amount was less or equal to 5 ml （4 5 ml） and 33 eases of cerebral isehemia in our department were randomly divided into the observation group and study group with 30 cases in each group. All pat patients in the ients in both were all offered the same drug treatment and conventional nursi study group, extra cognitive intervention had been implemented for 1 week, ng b For ehavioral intervention for 2 weeks. The Hamilton Depression Scale （HAMD） and FMA were applied to scoring before and after treatment, and 2 weeks and 4 weeks, before and after the treatment as well. Then the effect of both groups were observed. Results. The hemiplegia rehabilitation of limb functions in the cognitive psychological intervention study group had been improved significantly compared with that of the control group before the intervention. Conclusion： Cognitive be therapy to promote physical rehabilitation efficacy. of the stroke patients with hemiplegia has better havioral clinical efficacy.
出处
《华夏医学》
CAS
2013年第5期955-958,共4页
Acta Medicinae Sinica
关键词
脑卒中
认知疗法
康复
stroke
cognitive therapy
rehabilitation
