心理康复对脑卒中偏瘫患者肢体功能及生活质量的影响

The effect of psychological rehabilitation on limb function and quality of life in stroke patients with hemiplegia

目的探讨对脑卒中偏瘫患者实施心理康复干预,观察其对患者的肢体运动功能和生活质量的影响。方法将清远市第三人民医院及清远市慢性病防治医院2022年4月至2023年4月收治的60例脑卒中偏瘫患者作为本研究对象,按照随机数表法将其分为A组(n=30)和B组(n=30),A组给予院内常规诊疗进行干预,B组在常规诊疗基础上给予心理康复干预。比较两组患者心理状态、肢体功能以及生活质量情况。结果干预后,B组的汉密尔顿焦虑量表(HAMA)和抑郁量表(HAMD)评分均明显低于A组,肢体功能评分明显高于A组,差异有统计学意义(P<0.05);B组干预后的神经功能评分明显低于A组,差异有统计学意义(P<0.05);两组干预后的生活质量相比干预前均明显提升,且B组干预后的生活质量明显高于A组,差异有统计学意义(P<0.05)。结论对脑卒中偏瘫患者实施心理康复干预,能够有效改善患者不良的心理状态,提高肢体运动功能、神经功能恢复,进而提高其日常生活质量,值得临床推广使用。

Objective By implementing psychological rehabilitation interventions,to observe its impact on limb motor function and quality of life of stroke patients with hemiplegia.Methods A total of 60 stroke patients with hemiplegia admitted to the Third People’s Hospital of Qingyuan and Qingyuan Chronic Disease Prevention and Treatment Hospital from April 2022 to April 2023 were selected as the study subjects.They were divided into Group A(n=30)and Group B(n=30)using a random number allocation table method.Group A received routine diagnosis and treatment in the hospital for the intervention,while Group B received psychological rehabilitation intervention based on routine diagnosis and treatment.The psychological status,limb function,and quality of life of the two groups of patients were compared.Results After the intervention,the Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)scores of Group B were significantly lower than those of Group A,and the limb function scores were significantly higher than those of Group A,with statistically significant differences(P<0.05);The neurological function score of Group B after intervention was significantly lower than that of Group A,with statistically significant difference(P<0.05).The quality of life after intervention in both groups was significantly improved compared to that before intervention,and the quality of life in Group B was significantly higher than that in Group A,with statistically significant difference(P<0.05).Conclusion Implementing psychological rehabilitation intervention on stroke patients with hemiplegia can effectively improve their poor psychological status,improve limb motor function,promote neurological function recovery,and thereby improve their quality of daily life.Therefore,it is worthy of clinical promotion and use.