阶段式康复指导对脑卒中后患者抑郁及生活质量的影响

Impact of stage-based rehabilitation guidance on depression and quality of life in stroke patients

目的探讨阶段式康复指导对脑卒中后患者抑郁及生活质量的影响。方法将脑卒中出院患者60例随机分为干预组和对照组各30例,均采用常规药物治疗、康复训练;干预组在此基础上采取阶段式康复指导,即患者接受6个月共12次的康复指导,每次按心理咨询、指导、交流、展示4个阶段进行。结果治疗6个月后,两组患者抑郁评分显著降低,Barthel指数显著提高,但干预组较对照组改善更为显著(均P<0.05)。结论采用阶段式康复指导能明显改善患者抑郁程度,提高患者生活质量。

Objective To investigate the effects of stage-based rehabilitation guidance on depression and quality of life in stroke patients.Methods Sixty discharged stroke patients were randomized into an intervention group and a control group,with 30 cases in each group.All of them received conventional medications and rehabilitation training,additionally patients in the intervention group were subjected to stage-based rehabilitation guidance,which was conducted for 12 times and each time with such four stages as psychological consultation,instruction,communication and demonstration.Results After 6-month intervention,the score of depression decreased in both groups,the Barthel index increased in both groups,and there were significant differences between the two groups（P0.05 for all）.Conclusion Stage-based rehabilitation guidance can improve depression and quality of life in stroke patients.