流瑜伽干预对社区脑卒中患者平衡能力及害怕跌倒的影响

Influence of flow Yoga on balance ability and fear of falling of community patients with stroke

目的 评价流瑜伽干预对社区脑卒中患者平衡能力和害怕跌倒的影响.方法 将92例社区脑卒中患者按照纳入顺序随机分为干预组和对照组各46例,干预组在社区常规护理基础上接受流瑜伽训练,对照组接受社区常规护理.采用Berg平衡量表、单条目问题法和修订版跌倒效能量表比较2组干预效果.结果 8周干预结束后,干预组平衡能力评分高于对照组[（48.28±10.64）分比（32.04±11.42）分,t=6.316,P＜0.05]、跌倒效能评分高于对照组[（132.03±27.38）分比（108.74±25.68）分,t=8.256,P＜0.05],害怕跌倒发生率低于对照组[26.09％（12/46）比32.61％（15/46）,x2=6.545,P＜0.05],差异均有统计学意义.结论 流瑜伽干预可以提高社区脑卒中患者的平衡能力和跌倒效能,降低害怕跌倒发生率,值得推广应用.

Objective To explore the effect of flow yoga on balance ability and fear of falling of community patients with stroke.Methods Divided 92 community patients with stroke into the intervention group （46 cases） and the control group （46 cases） randomly,routine community nursing cares were used in the control group,while the flow yoga were used in the intervention group in addition.The berg balance scale,single direct question of fear of falling and modified falls efficacy scale were used to evaluate balance ability and fear of falling after the intervention between the two groups.Results The patients＇ balance ability was （48.28±10.64） in the intervention group,which was significant higher than that of in the control group （32.04±11.42）,t=6.316,P〈0.05.The fall efficacy in the intervention group was （132.03±27.38）,which was significant higher than that of in the control group （108.74±25.68）,t=8.256,P〈0.05.The rate of fear falling in the intervention group was 26.09%（12/46）,which was significant lower than that of in the control group （32.16T%,15/46）,x2=6.545,P〈0.05.Conclusion Flow yoga can improve stroke patients＇; balance ability and reduce fear of falling.