SFBC联合TOT对急性脑卒中后偏瘫患者肢体功能康复及ADL能力的影响

Effect of SFBC combined with TOT on limb function rehabilitation and ADL ability in patients with hemiplegia after acute stroke

目的探究焦点解决短期咨询(SFBC)联合任务导向性训练(TOT)对急性脑卒中后偏瘫患者肢体功能康复及日常生活活动(ADL)能力的影响。方法选取2021年1月至2023年1月于潜江市中心医院康复医学科收治的101例急性脑卒中后偏瘫患者为研究对象,采用随机数表法将其分为观察组(51例)和对照组(50例)。对照组采用常规TOT训练方法,观察组采用SFBC联合TOT训练方法。比较两组患者心理状况[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、Fugl-Meyer运动功能评分量表(FMA)及Barthel指数(BI)。结果干预前两组心理状况、FMA评分及BI评分比较,差异无统计学意义(P>0.05),干预2个月后观察组SAS、SDS评分显著低于对照组,差异有统计学意义(P<0.05),上肢运动功能量表(FMA-UE)、下肢运动功能量表(FMA-LE)、BI评分均显著高于对照组,差异有统计学意义(P<0.05)。结论SFBC联合TOT的康复治疗训练可以改善急性脑卒中后偏瘫患者心理状况,提高患者肢体康复功能及ADL能力。

Objective To explore the effect of solution-focused brief counseling(SFBC)combined with task-oriented training(TOT)on limb function rehabilitation and activities of daily living(ADL)ability of patients with hemiplegia after acute stroke.Methods A total of 101 patients with hemiplegia after acute stroke admitted to the Department of Rehabilitation Medicine of Qianjiang Central Hospital from January 2021 to January 2023 were selected and divided into an observation group(51 cases)and a control group(50 cases)by the random number table method.The control group received the routine TOT training method,while the observation group received SFBC combined with the TOT training method.The psychological status(by Self-Rating Anxiety Scale[SAS]and Self-Rating Depression Scale[SDS]),Fugl-Meyer Assessment(FMA),and Barthel Index(BI)of the two groups of patients were compared.Results There were no differences in psychological status,FMA score,and BI score between the two groups before intervention(P>0.05).SAS and SDS scores of the observation group after 2 months of intervention were significantly lower than those of the control group,with statistically significant differences(P<0.05),while upper limb motor function(FMA-UE),lower limb motor function(FMA-LE),and BI score were significantly higher in the observation group than in the control group,with statistically significant differences(P<0.05).Conclusion The rehabilitation treatment training of SFBC combined with TOT can improve the psychological status of patients with hemiplegia after acute stroke,and enhance their limb rehabilitation function as well as ADL ability.