TOMATIS听觉-运动功能训练对缺血性脑卒中患者期望水平干预效果研究

Intervention effect of TOMATIS auditory motor function training on expectation level of patients with ischemic stroke

(1)目的探讨TOMATIS听觉-运动功能训练对缺血性脑卒中患者期望水平的干预效果。(2)方法选取某三甲医院神经内科治疗的159例缺血性脑卒中患者,将其随机分为三组,每组53例;对照组常规日常干预,音乐组在日常干预的基础上进行常规音乐训练,听觉-运动功能训练组(观察组)进行经处理的高低频转换的听觉-运动功能训练,连续干预28天;采用Herth期望量表(HHI)比较干预前后期望水平的差异。(3)结果干预后各组患者对现实和未来的积极态度均高于干预前,期望水平提高,差异均具有统计学意义(P<0.05)。三组患者对现实和未来的积极态度、采取积极的行动及HHI总分差值差异均具有统计学意义(P<0.05)。对照组HHI总分较干预前提高,差异有统计学意义(P<0.05)。音乐组对现实和未来的积极态度差值明显高于对照组,差异均具有统计学意义(P<0.05)。观察组采取积极的行动、期望水平较干预前提高,差异均具有统计学意义(P<0.05);对现实和未来的积极态度及HHI总分差值高于对照组,采取积极的行动差值高于音乐组及对照组。(4)结论 TOMATIS听觉-运动功能训练可提高脑卒中患者对未来的期望水平,缩短患者康复周期。

Objective To explore the effect of TOMATIS intervention study of auditory-exercise training on hope level in patients with stroke.Methods A total of 159 patients who hospitalized at a hospital were randomly divided into three groups,with 53 in each group.The control group received routine daily care.The music group performs regular music training on the basis of daily care.The auditory training group performs the processed high-low frequency conversion auditory-exercise training for 28 consecutive days.The Herth Hope Index(HHI) was used to compare the differences in hope levels before and after intervention.Results After intervention,the positive attitude to reality and future of patients in each group was higher than that before intervention,the level of hope was improved,and the difference was statistically significant(P<0.05).The positive attitude to reality and future,positive action and HHI total score difference of patients in three groups were statistically significant(P<0.05).The positive attitude(T) and HHI scores of the control group were higher than those of the control group(P<0.05).The difference of positive attitude to reality and future in music group was significantly higher than that in control group(P<0.05).The level of positive action and hope in auditory motor training group was higher than that before intervention(P<0.05).The difference of positive attitude to reality and future and HHI was higher than that in control group, and the difference of positive action was higher than that in music group and control group.Conclusion TOMATIS auditory-exercise training can improve the hope level of stroke patients and shorten the prognosis time.