集体康复训练对卒中后焦虑抑郁情绪及日常生活活动能力的影响

Effect of group rehabilitation therapy on anxiety,depression and ADL for patients with hemiplegia following stroke

目的观察集体康复训练后脑卒中偏瘫患者焦虑抑郁情绪及日常生活活动能力(activities of daily living,ADL)的改善情况,为探究偏瘫康复提供新的思路。方法收集脑卒中偏瘫患者80例,按照随机数字表法分为观察组和对照组各40例,干预4周后观察组丢失2例为38例,对照组丢失5例为35例。2组均给予康复科常规护理及宣教,对照组采用常规康复训练,而观察组采用集体康复训练。干预4周后,评价并比较2组焦虑和抑郁发病率及ADL评分。结果观察组干预后焦虑和抑郁发病率较对照组明显减少(P<0.05);干预后2组ADL评分均较干预前明显升高(P>0.05),但观察组升高幅度大,干预后观察组ADL评分明显高于对照组,差异有统计学意义(P<0.01)。结论 4周集体康复训练能够明显改善患者焦虑抑郁情绪,提高ADL。集体康复训练模式是实用、有效的治疗措施,并且为患者提供了一种积极、愉悦、丰富的康复环境,为脑卒中康复提供了新思路。

Objective To explore the effects of group rehabilitation therapy on anxiety and depression,as well as activities of daily living（ADL）for patients with hemiplegia following stroke.Methods Eighty patients following stroke with hemiplegia were collected.They were divided into observation group（40cases）and control group（40cases）by the random number table.After four weeks intervention,observation group lost 2patients,control group lost 5patients. All patients received rehabilitation nursing and education. Control group with conventional rehabilitation training,but experimental group patients received group rehabilitation therapy for four weeks.Then,after four weeks,anxiety and depression as well as ADL score were compaired between two groups.Results In observation group,the mood of anxiety and depression were significant improvement after intervention（P〈0.05）.The score of daily life activity after the intervention in the two groups were obviously higher than that before the intervention（P〈0.05）.The score of daily life activity after the intervention in the observation group was obviously higher than that of control group（P〈0.01）.Conclusion Four weeks group rehabilitation therapy can significantly improve patients＇ anxiety and depression as well as improve the ADL.Group rehabilitation therapy is a practical and effective treatment,and provides patients with a positive,pleasant and rich environment as well as provides a new idea for stroke rehabilitation.