空灵鼓康复训练联合音乐疗法对中青年脑卒中伴行为记忆障碍患者重返工作能力及个人掌控感的影响

Effect of rehabilitation training combined with music therapy on the ability to return to work and personal sense of control in middle-aged and young stroke patients with behavioral memory impairment

目的探讨空灵鼓康复训练联合音乐疗法对中青年脑卒中伴行为记忆障碍患者重返工作能力及个人掌控感的影响。方法选取2022-01—2023-01首都医科大学附属北京康复医院收治的82例中青年脑卒中患者作为研究对象,采用随机数字表法将其分为对照组41例,观察组41例。对照组实施常规康复训练,观察组在对照组基础上实施空灵鼓康复训练+音乐疗法干预。比较2组神经功能、运动功能、认知功能、日常生活能力、个人掌控感、重返工作能力、心理情绪。结果2组干预后美国国立卫生研究院脑卒中量表(NIHSS)评分均有降低,简易智能精神状态评价量表(MMSE)、生活自理能力量表(ADL)、简式Fugl-Meyer运动功能量表(FMA)评分均有升高(P<0.05);且观察组干预后NIHSS评分降低更明显,MMSE、FMA、ADL评分升高更明显(P<0.05)。2组干预后焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均有降低(P<0.05);且观察组干预后SAS、SDS评分降低更明显(P<0.05)。2组干预后个人掌控感量表(PMS)、中文版工作能力支持量表(WSS)评分均有升高(P<0.05);且观察组干预后PMS、WSS评分升高更明显(P<0.05)。结论在中青年脑卒中伴行为记忆障碍患者中实施空灵鼓康复训练联合音乐疗法,可促进患者神经、认知、运动功能恢复,改善其不良心理情绪,提高其重返工作能力及个人掌控感水平。

Objective To investigate the effect of rehabilitation training combined with music therapy on the ability to return to work and personal sense of control in middle-aged and young stroke patients with behavioral memory impairment.Methods A total of 82 young and middle-aged stroke patients admitted to the Beijing Rehabilitation Hospital Affiliated to Capital Medical University from January 2022 to January 2023 were selected as research objects.They were randomly divided into the control group of 41 cases and the observation group of 41 cases.The control group received routine rehabilitation training,while the observation group received ethereal drum rehabilitation training and music therapy intervention on the basis of the control group.The neurological function,motor function,cognitive function,daily life ability,personal control,ability to return to work,and psychological emotions of the two groups were compared.Results After intervention,both groups had a decrease in the National Institutes of Health stroke scale(NIHSS)score,while the mini-menrtal state examination(MMSE),activity of daily living(ADL),and Fugl-Meyer motor function assessment(FMA)scores increased(P<0.05).After intervention,the NIHSS score in the observation group decreased more significantly,while the MMSE,FMA,and ADL scores increased more significantly(P<0.05).After intervention,the scores of the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)decreased in both groups(P<0.05),and the observation group showed a more significant decrease in SAS and SDS scores after intervention(P<0.05).After intervention,the scores of the personal mastery scale(PMS)and the Chinese version of the work-ability support scale(WSS)increased in both groups(P<0.05),and the observation group showed a more significant increase in PMS and WSS scores after intervention(P<0.05).Conclusion The combination of ethereal drum rehabilitation training and music therapy in middle-aged and young stroke patients with behavioral memory impairment can promote the recovery of neurological,cognitive,and motor functions,improve their negative psychological emotions,and enhance their ability to return to work and personal sense of control.