分级运动想象疗法联合常规作业治疗对偏瘫患者生存质量的影响(1)
[摘要]目的 探讨分级运动想象疗法联合常规作业治疗对偏瘫患者生存质量的影响。方法 选取2018年1月～2019年12月肇庆市第一人民医院收治的60例脑卒中偏瘫患者为研究对象，按照随机数表法分为研究组与对照组，每组各30例。对照组采用常规作业治疗，研究组在对照组基础上联合分级运动想象疗法。治疗前及治疗6周后，比较两组患者的日常生活自理能力[工具性日常生活活动能力(IADL)]、活动能力[加拿大作业活动状况测量(COPM)]、总体生存质量[世界卫生组织生活质量测定简表(WHO-QOL-BREF)]、基本生存质量[生活质量简表(SF-36)]评分的变化。结果 治疗6周后，研究组患者IADL、COPM、WHO-QOL-BREF、SF-36各项评分均高于本组治疗前，差异有统计学意义(P<0.05)，研究组患者IADL、COPM、WHO-QOL-BREF、SF-36各项评分高于对照组，差异有统计学意义(P<0.05)。结论 分级运动想象疗法联合常规作业治疗脑卒中偏瘫，有利于提高患者的日常生活自理能力及活动能力，改善其生存质量。
[关键词]分级运动想象疗法;常规作业治疗;脑卒中偏瘫;活动能力;生存质量
[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-4721(2020)8(c)-0094-05
[Abstract] Objective To explore the effect of graded motor imagery therapy combined with routine occupational therapy on the quality of life of hemiplegic patients. Methods A total of 60 stroke patients with hemiplegia admitted to the First People′s Hospital of Zhaoqing City from January 2018 to December 2019 were selected as the research objects， and divided into the study group and the control group according to the random number table， with 30 cases in each group. The control group was treated with routine occupational therapy， and the study group was treated with graded motor imagery therapy on the basis of the control group. Before treatment and 6 weeks after treatment， the two groups of patients′ self-care ability of daily life (instrumental activities of daily living [IADL])， activity ability (Canadian occupational performance measure [COPM])， total quality of life (World health organization-quality of life short version [WHO-QOL-BREF])， basic quality of life (quality of life summary [SF-36]) score changes were compared. Results After 6 weeks of treatment， the scores of IADL， COPM， WHO-QOL-BREF and SF-36 in the study group were higher than those before treatment， and the differences were statistically significant (P<0.05); and the scores of IADL， COPM， WHO-QOL-BREF and SF-36 in the study group were higher than those in the control group， the differences were statistically significant (P<0.05). Conclusion The application of graded motor imagination therapy combined with routine occupational therapy in hemiplegic patients with stroke is beneficial to improve patients′ daily life self-care ability and activity ability， and improve the quality of life.
[Key words] Graded motor imagery therapy; Routine occupational therapy; Stroke hemiplegia; Activity ability; Quality of life
脑卒中属于突然起病且以局灶性神经功能缺损为主要特点的急性脑血管疾病[1]。该疾病是心脑血管系统常见疾病之一，具有高发病率、高致残率、高死亡率等特征，是诸多国家中第十大致残及致死因素，在我国脑卒中死亡率已成为首要致死原因[2]。近年来，隨着医疗技术不断发展，脑卒中死亡率呈下降趋势，因该疾病引发的致残率却高达87%，严重影响患者的生存质量，为患者家属及整个社会带来了巨大的负担[3]。分级运动想象疗法通过反复运动想象训练，期间无任何运动输出，根据运动记忆激活大脑部分特定区域，最终提高患者的运动功能[4]。对此，本研究旨在运用分级运动想象疗法联合常规作业治疗对偏瘫患者生存质量的影响进行探索，现报道如下。, http://www.100md.com(杨玉凤 任如昉 陈瑞旦)
[关键词]分级运动想象疗法;常规作业治疗;脑卒中偏瘫;活动能力;生存质量
[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-4721(2020)8(c)-0094-05
[Abstract] Objective To explore the effect of graded motor imagery therapy combined with routine occupational therapy on the quality of life of hemiplegic patients. Methods A total of 60 stroke patients with hemiplegia admitted to the First People′s Hospital of Zhaoqing City from January 2018 to December 2019 were selected as the research objects， and divided into the study group and the control group according to the random number table， with 30 cases in each group. The control group was treated with routine occupational therapy， and the study group was treated with graded motor imagery therapy on the basis of the control group. Before treatment and 6 weeks after treatment， the two groups of patients′ self-care ability of daily life (instrumental activities of daily living [IADL])， activity ability (Canadian occupational performance measure [COPM])， total quality of life (World health organization-quality of life short version [WHO-QOL-BREF])， basic quality of life (quality of life summary [SF-36]) score changes were compared. Results After 6 weeks of treatment， the scores of IADL， COPM， WHO-QOL-BREF and SF-36 in the study group were higher than those before treatment， and the differences were statistically significant (P<0.05); and the scores of IADL， COPM， WHO-QOL-BREF and SF-36 in the study group were higher than those in the control group， the differences were statistically significant (P<0.05). Conclusion The application of graded motor imagination therapy combined with routine occupational therapy in hemiplegic patients with stroke is beneficial to improve patients′ daily life self-care ability and activity ability， and improve the quality of life.
[Key words] Graded motor imagery therapy; Routine occupational therapy; Stroke hemiplegia; Activity ability; Quality of life
脑卒中属于突然起病且以局灶性神经功能缺损为主要特点的急性脑血管疾病[1]。该疾病是心脑血管系统常见疾病之一，具有高发病率、高致残率、高死亡率等特征，是诸多国家中第十大致残及致死因素，在我国脑卒中死亡率已成为首要致死原因[2]。近年来，隨着医疗技术不断发展，脑卒中死亡率呈下降趋势，因该疾病引发的致残率却高达87%，严重影响患者的生存质量，为患者家属及整个社会带来了巨大的负担[3]。分级运动想象疗法通过反复运动想象训练，期间无任何运动输出，根据运动记忆激活大脑部分特定区域，最终提高患者的运动功能[4]。对此，本研究旨在运用分级运动想象疗法联合常规作业治疗对偏瘫患者生存质量的影响进行探索，现报道如下。, http://www.100md.com(杨玉凤 任如昉 陈瑞旦)