自我效能训练对缺血性脑卒中偏瘫的疗效

Effects of Self-Efficacy Training on Hemiplegics after Stroke

目的观察综合康复结合自我效能训练对缺血性脑卒中偏瘫患者的疗效。方法 60例脑梗死偏瘫患者分为对照组1(n=20)、对照组2(n=20)和观察组(n=20)。三组均采用常规康复训练,对照组2另外增加活动分析法,观察组另外增加活动分析法和自我效能训练。三组均在治疗前和8周后采用Fugl-Meyer运动量表、Berg平衡量表、Zung抑郁自评量表(SDS)、Zung焦虑自评量表(SAS)、改良Barthel指数和一般自我效能量表(GSES)进行评价。结果治疗后,观察组各项评分改善均优于对照组1和对照组2(P<0.05)。结论综合康复结合自我效能训练能改善缺血性脑卒中偏瘫患者的情绪,提高训练效果,从而改善日常生活活动能力。

Objective To explore the effect of comprehensive rehabilitation combined with self-efficacy training on hemiplegics after stroke. Methods 60 ischemic stroke patients following hemiplegia were divided into three groups：control group 1 （n=20）, control group 2 （n=20）, and experiment group （n=20）. All the patients received routine rehabilitation, the control group 2 received tasks analysis approach, and the experiment group received tasks analysis approach and self-efficacy training. All the patients were evaluated by Fugl-Meyer Assess-ment （FMA）, Berg Balance Scale （BBS）, Self-rating Depression Scale （SDS）, Self-rating Anxiety Scale （SAS）, modified Barthel Index （MBI） and General Self-efficacy Scale （GSES） before and 8 weeks after treatment. Results The scores of FMA, BBS, SDS, SAS, MBI and GSES improved significantly in the experiment group than in the control group 1 and the control group 2 after treatment （P〈0.05）. Conclu-sion Comprehensive rehabilitation combined with self-efficacy training can improve the ability of mood and motion, and the activities of dai-ly living of ischemic stroke patient with hemiplegia.