渐进式阻力训练对脑卒中抑郁患者抑郁程度和睡眠质量的影响

Effects of Progressive Resistance Training on Depression and Sleep Quality in Patients with Stroke Depression

目的探讨脑卒中抑郁患者经过渐进式阻力训练后患者抑郁程度和睡眠质量的变化。方法将110例脑卒中抑郁患者随机分为对照组和实验组。对照组(n=55例)实施常规神经内科的护理措施,实验组(n=55)在对照组基础上给予渐进式阻力训练干预。分别在第4、第8周采用匹兹堡失眠质量指数量表(PSQI)和汉密尔顿抑郁量表(HAMD)对两组患者的抑郁程度和睡眠质量进行评估。结果干预前两组患者的睡眠质量和抑郁状态的差异无统计学意义,干预4周、8周后两组患者的抑郁程度和睡眠质量差异均具有统计学意义;干预4周、8周后实验组患者的抑郁状态和睡眠质量得分分别低于对照组,实验组干预8周后的疗效要好于对照组干预8周后的疗效。结论渐进式阻力训练能够有效降低抑郁程度,提高患者的睡眠质量,在临床上可作为辅助治疗或替代治疗。

Objective To investigate the changes of depression and sleep quality in patients with stroke depression after resistance training.Method A total of 110 patients with stroke depression were divided into control group and experimental group.Control group(n=55 cases)to implement routine nursing measures in neurology,experimental group(n=55)on the basis of the control group to give progressive resistance training intervention.The depression degree and sleep quality of the two groups were assessed by the PSQI and Hamilton depression scale HAMD at 4 and 8 weeks,respectively.Results There was no statistically significant difference in sleep quality and depression state between the two groups before intervention(t=12.136,P=5.379),and there were statistically significant differences in depression degree and sleep quality between the two groups after 4and 8 weeks of intervention(t=8.28,P=0.03;t=4.32,P=0.01).After 4 and 8 weeks of intervention,the depression status and sleep quality scores of the experimental group were lower than those of the control group,and the therapeutic effect of the experimental group after 8 weeks of intervention was better than that of the control group after 8 weeks of intervention(c2=0.657,P<0.001).Conclusion Progressive resistance training can effectively reduce the degree of depression and improve the sleep quality of patients with no side effects,and can be used as adjuvant therapy or alternative therapy in clinical practice.