综合心理干预联合早期个体化康复锻炼在提高脑梗死患者康复锻炼依从性的作用(1)

http://www.100md.com 2018年8月5日 《中国医学创新》 2018年第22期

     【摘要】 目的：分析綜合心理干预联合早期个体化康复锻炼在提高脑梗死患者康复锻炼依从性的作用。方法：回顾性分析于本院进行早期个体化康复锻炼的130例脑梗死患者的临床资料，按照护理方法不同分为观察组(综合心理干预)与对照组(按常规临床路径进行心理干预)，各65例。比较两组干预前后的美国国立卫生研究院卒中量表(NIHSS)、日常生活活动能力(BI指数)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、康复训练依从性及健康促进生活方式量表Ⅱ(HPLPⅡ)评分。结果：干预后，两组NIHSS、SAS、SDS评分均低于干预前，且观察组均低于对照组，比较差异均有统计学意义(P<0.05)；干预后，两组BI指数、康复训练依从性及HPLPⅡ各维度评分均高于干预前，且观察组均高于对照组，比较差异均有统计学意义(P<0.05)。结论：综合心理干预联合早期个体化康复锻炼可提高脑梗死患者康复锻炼依从性，对改善患者负性情绪及生活质量均有重要意义。

    【关键词】 综合心理干预； 早期个体化康复锻炼； 脑梗死； 康复锻炼依从性
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    【Abstract】 Objective：To analyze the effects of comprehensive psychological intervention combined with early individualized rehabilitation exercise on improving the rehabilitation exercise compliance in patients with cerebral infarction.Method：The clinical data of 130 patients with cerebral infarction undergoing early individualized rehabilitation exercise in our hospital were retrospectively analyzed.According to the difference methods，they were divided into observation group(comprehensive psychological intervention) and control group(psychological intervention by routine clinical pathway)，65 cases in each group.The scores of United National Institutes of Health Stroke Scale(NIHSS)，activities of daily living(BI index)，self-rating anxiety scale(SAS) and self-rating depression scale(SDS)，the rehabilitation exercise compliance and Health Promoting Lifestyle ProfileⅡ(HPLPⅡ) before and after intervention between the two groups were compared.Result：After intervention，the scores of NIHSS，SAS and SDS in the two groups were all lower than those of before intervention，and the observation group were lower than those of the control group，the differences were statistically significant(P<0.05).After intervention，the BI index，rehabilitation exercise compliance and HPLPⅡ in the two groups were all higher than those of before intervention，and the observation group were all higher than those of the control group，the differences were statistically significant(P<0.05).Conclusion：Comprehensive psychological intervention combined with early individualized rehabilitation exercise can improve the rehabilitation exercise compliance of patients with cerebral infarction，and can have important significance in improving the negative emotions and the quality of life.

    【Key words】 Comprehensive psychological intervention； Early individualized rehabilitation exercise； Cerebral infarction； Rehabilitation exercise compliance

    First-author’s address：Foshan Second People’s Hospital，Foshan 528000，China

    doi：10.3969/j.issn.1674-4985.2018.22.024, 百拇医药(崔钰琼 路海云 叶慧敏 莫静霞 岑春霞)

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