团体延伸康复训练对脑外伤患者日常生活能力、运动功能及情绪的影响

Effects of group based extension rehabilitation on activities of daily living,motor function and emotion in patients with traumatic brain injury

目的探讨团体延伸康复训练对脑外伤患者日常生活能力、运动功能和情绪的康复效果。方法选取2018~2019年上海市养志康复医院神经康复四科收治的脑外伤患者为研究对象,2018年1~12月收治的脑外伤患者为对照组(120例),2019年1~12月的脑外伤患者为观察组(96例)。两组患者均接受常规康复治疗、康复训练及护理,观察组在常规护理的基础上216例接受团体延伸康复训练。于干预前进行基线调查,并在患者出院时采用改良Barthel指数量表(MBI)、Berg平衡量表(BBS)、偏瘫上肢功能评估表(FTHUE-HK)、焦虑自评量表(SAS)和抑郁自评量表(SDS)进行评定。结果训练后两组患者的MBI、BBS、FTHUE-HK评分显著提高,差异均有统计学意义(均P<0.01),与训练前比较,训练后观察组MBI、BBS、FTHUE-HK评分优于对照组,差异均有统计学意义(均P<0.05,P<0.01)。训练后两组患者SAS和SDS的评分显著降低,差异均有统计学意义(均P<0.01),且观察组SAS和SDS评分显著低于对照组,差异均有统计学意义(均P<0.01)。结论实施团体延伸康复训练能够有效提升脑外伤患者的日常生活能力,显著改善其躯体运动功能,并减轻其抑郁和焦虑情绪。

Objective To explore the effect of group based extension rehabilitation on activities of daily living,motor function and emotional in patients with traumatic brain injury.Methods Patients with brain trauma admitted to the fourth department of neurological rehabilitation in this hospital from 2018 to 2019 were selected as the research objects.The patients with traumatic brain injury admitted from January to December 2018 were the control group(120 cases),and the patients with traumatic brain injury from January to December 2019 were the observation group(96 cases).Both groups received routine rehabilitation treatment,rehabilitation training and nursing.The observation group received extended group rehabilitation training on the basis of routine nursing.A baseline survey was performed before intervention,and patients were assessed at discharge using the Modified Barthel Index Scale(MBI),Berg Balance Scale(BBS),Functional Test for the Hemiplegic Upper Extremity(FTHUE-HK),Self-rating Anxiety Scale(SAS),and Self-rating Depression Scale(SDS).Results Compared with before training,the scores of MBI,BBS,FTHUE-HK of two group after training were significantly improved,the differences were statistically significant(P<0.01).Compared with before training,observation group′s MBI,BBS,FTHUE-HK scores were better than that of control group after training,the differences were statistically significant(P<0.05,P<0.01).Compared with before training,the scores of SAS and SDS of two groups after training were significantly reduced,the differences were statistically significant(P<0.01),and the SAS and SDS score of observation group was significantly lower than the control group,the differences were statistically significant(P<0.01).Conclusions Group extended rehabilitation training can effectively improve the daily living ability of patients with traumatic brain injury,significantly improve their motor function,and reduce their depression and anxiety.