运动想象疗法联合常规康复治疗改善脑卒中后遗症期患者焦虑抑郁情绪的效果分析

Analysis on Effects of Mental Imagery Therapy Combined with Conventional Rehabilitation Treatment on Ameliorating Anxiety and Depression Emotions of Patients During Post-Stroke Sequelae Period

目的:探讨运动想象疗法联合常规康复治疗改善脑卒中后遗症期患者焦虑抑郁情绪的效果。方法:选取2021年1月-2022年1月青岛湛山疗养院康复科收治的脑卒中后遗症期存在焦虑或抑郁情绪的患者60例作为研究对象,采用随机数字表法分为试验组和对照组,各30例。对照组接受常规康复治疗,试验组在对照组基础上给予运动想象疗法。比较两组治疗效果。结果:治疗8周后,两组汉密尔顿焦虑量表、汉密尔顿抑郁量表评分低于治疗前,且试验组低于对照组,差异有统计学意义(P<0.05);两组意识、水平凝视功能、面瘫、言语、上肢肌力、手肌力、下肢肌力、步行能力评分低于治疗前,且试验组低于对照组,差异有统计学意义(P<0.05);两组生理、躯体、社会、情感评分高于治疗前,且试验组高于对照组,差异有统计学意义(P<0.05)。结论:运动想象疗法联合常规康复治疗改善脑卒中后遗症期患者焦虑抑郁情绪的效果显著,可减轻神经功能损伤,提高其生活质量。

Objective:To explore the effect of mental imagery therapy combined with conventional rehabilitation treatment on ameliorating anxiety and depression emotions of patients during post-stroke sequelae period.Methods:From January 2021 to January 2022,60 patients with anxiety or depression emotions during post-stroke sequelae period who were admitted to the Rehabilitation Department of Qingdao Zhanshan Sanatorium were selected as the study subjects.They were divided into the experimental group and the control group according to random number table method,with 30 cases in each group.The control group received conventional rehabilitation treatment,and the experimental group received mental imagery therapy on the basis of the control group.The treatment effects were compared between the two groups.Results:After 8 weeks of treatment,the scores of Hamilton Anxiety Scale and Hamilton Depression Scale in the two groups were lower than those before treatment,and the scores in the experimental group were lower than those in the control group,and the difference was statistically significant(P<0.05).The scores of consciousness,horizontal gaze function,facial paralysis,speech,upper limb muscle strength,hand muscle strength,lower limb muscle strength and walking ability in the two groups were lower than those before treatment,and the scores in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).The physiological,somatic,social and emotional scores in the two groups were higher than those before treatment,and the scores in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Mental imagery therapy combined with conventional rehabilitation treatment has a significant effect on ameliorating anxiety and depression emotions in patients during post-stroke sequelae period,and can alleviate neurological impairment and improve their quality of life.