冥想训练对脑卒中患者认知功能障碍及情绪障碍的影响
发布时间：2019-04-20 07:58
【摘要】：目的观察冥想训练对脑卒中后认知功能障碍及焦虑、抑郁的康复护理效果,为脑卒中患者康复训练和康复护理提供新的方法。方法选取2015年10月~2016年7月唐山工人医院康复中心住院治疗的脑卒中认知功能障碍合并焦虑与抑郁患者100例,采用数字表法将患者随机分为对照组50例和干预组50例。对照组采用常规神经内科治疗和康复护理,同时进行运动治疗和作业治疗等肢体功能训练和认知训练,每次训练40分钟,每周训练5次。干预组在对照组治疗的基础上进行冥想训练,主要内容为台湾郭怀慈的音乐冥想结合日本七田真的右脑开发技术;具体训练步骤为:(1)患者在康复护士引导下进行音乐冥想训练;(2)患者对曼陀罗卡片进行颜色填涂;(3)患者通过黄卡进行残像练习并画图;(4)对橘子的外形、纹理、颜色、气味进行想象,然后复述。每次训练时间为36分钟,每周训练5次,于训练前、训练1个月、3个月采用LOTCA、HAMA、HAMD对两组患者进行三期评价。将所有数据输入Excel数据库,采用SPSS18.0软件进行统计分析。计数资料采用χ2检验,等级资料采用秩和检验。计量资料用(?)±s表示,采用独立样本t检验及方差分析。P0.05为差异有统计学意义。结果1冥想训练对脑卒中患者认知功能的影响:两组患者干预前LOTCA评分比较差异无统计学意义(P0.05)。干预1个月、3个月后干预组LOTCA评分与干预前比较差异有统计学意义(P0.05)。干预1个月后两组患者注意力及专注力评分的差值比较有统计学意义(P0.05),其余维度及LOTCA总分差值均无统计学意义(P0.05)。干预3个月后两组患者LOTCA评分的差值比较有统计学意义,干预组在定向、视知觉、动作运用、视运动时间、思维操作、注意力及专注以及LOCTA总分均有统计学意义(P0.05)。2冥想训练对脑卒中患者焦虑及抑郁的影响:两组患者干预前HAMA、HAMD评分比较差异无统计学意义(P0.05)。干预1个月、3个月后干预组HAMA、HAMD评分与干预前比较均有降低,差异有统计学意义(P0.05)。干预1月后两组患者HAMA、HAMD评分差值比较无统计学意义(P0.05),而干预3个月后HAMA、HAMD评分差值比较有统计学意义(P0.05)。结论冥想训练可以改善脑卒中患者的认知功能障碍、焦虑和抑郁,且冥想训练干预3个月比干预1个月的效果更好。
[Abstract]:Objective to observe the effect of meditation training on rehabilitation nursing of cognitive dysfunction, anxiety and depression after stroke, and to provide a new method for rehabilitation training and rehabilitation nursing of stroke patients. Methods from October 2015 to July 2016, 100 stroke patients with cognitive dysfunction complicated with anxiety and depression were randomly divided into control group (n = 50) and intervention group (n = 50). The patients in the control group were treated with routine neuromedical treatment and rehabilitation nursing, and the limb function training and cognitive training were performed at the same time, such as exercise therapy and job therapy, each time for 40 minutes and 5 times a week. The intervention group was trained on the basis of the treatment of the control group. The main contents were the music meditation of Guo Huai-ci in Taiwan combined with the right brain development technique of Japan. The specific training steps are as follows: (1) the patients perform music meditation training under the guidance of rehabilitation nurses; (2) the patients fill in the color of the mandola card; (3) the patient exercises and draws pictures through the yellow card; (4) imagine the shape, texture, color and smell of oranges, and then repeat them. The training time was 36 minutes and the training time was 5 times a week. Before training, one month and three months after training, LOTCA,HAMA,HAMD was used to evaluate the two groups of patients in three phases. All the data were inputted into Excel database and analyzed by SPSS18.0 software. 蠂 2 test was used for counting data and rank sum test was used for grade data. The measurement data were expressed by (?) 卤s, the independent sample t test and ANOVA were used. The difference was statistically significant (P0.05). Results 1 the effect of meditation training on cognitive function of stroke patients: there was no significant difference in LOTCA score before intervention between the two groups (P0.05). There was significant difference in LOTCA score between the intervention group and the pre-intervention group at 1 month and 3 months after intervention (P0.05). One month after intervention, the difference of attention and focus score between the two groups was statistically significant (P0.05), but there was no significant difference in the other dimensions and the total score of LOTCA (P0.05). After 3 months of intervention, the difference of LOTCA score between the two groups was statistically significant. In the intervention group, orientation, visual perception, movement use, visual movement time and thinking operation were observed in the intervention group. Attention and concentration as well as the total score of LOCTA were statistically significant (P0.05). 2 the effect of meditation training on anxiety and depression in stroke patients: there was no significant difference in HAMA,HAMD score before intervention between the two groups (P0.05). After 1 month and 3 months of intervention, the HAMA,HAMD scores in the intervention group were lower than those before intervention, the difference was statistically significant (P0.05). There was no significant difference in HAMA,HAMD score between the two groups 1 month after intervention (P0.05), while the difference in HAMA,HAMD score was statistically significant 3 months after intervention (P0.05). Conclusion Meditation training can improve cognitive dysfunction, anxiety and depression in stroke patients, and the effect of meditation training intervention for 3 months is better than that for 1 month.
【学位授予单位】：华北理工大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.74
本文编号：2461430
[Abstract]:Objective to observe the effect of meditation training on rehabilitation nursing of cognitive dysfunction, anxiety and depression after stroke, and to provide a new method for rehabilitation training and rehabilitation nursing of stroke patients. Methods from October 2015 to July 2016, 100 stroke patients with cognitive dysfunction complicated with anxiety and depression were randomly divided into control group (n = 50) and intervention group (n = 50). The patients in the control group were treated with routine neuromedical treatment and rehabilitation nursing, and the limb function training and cognitive training were performed at the same time, such as exercise therapy and job therapy, each time for 40 minutes and 5 times a week. The intervention group was trained on the basis of the treatment of the control group. The main contents were the music meditation of Guo Huai-ci in Taiwan combined with the right brain development technique of Japan. The specific training steps are as follows: (1) the patients perform music meditation training under the guidance of rehabilitation nurses; (2) the patients fill in the color of the mandola card; (3) the patient exercises and draws pictures through the yellow card; (4) imagine the shape, texture, color and smell of oranges, and then repeat them. The training time was 36 minutes and the training time was 5 times a week. Before training, one month and three months after training, LOTCA,HAMA,HAMD was used to evaluate the two groups of patients in three phases. All the data were inputted into Excel database and analyzed by SPSS18.0 software. 蠂 2 test was used for counting data and rank sum test was used for grade data. The measurement data were expressed by (?) 卤s, the independent sample t test and ANOVA were used. The difference was statistically significant (P0.05). Results 1 the effect of meditation training on cognitive function of stroke patients: there was no significant difference in LOTCA score before intervention between the two groups (P0.05). There was significant difference in LOTCA score between the intervention group and the pre-intervention group at 1 month and 3 months after intervention (P0.05). One month after intervention, the difference of attention and focus score between the two groups was statistically significant (P0.05), but there was no significant difference in the other dimensions and the total score of LOTCA (P0.05). After 3 months of intervention, the difference of LOTCA score between the two groups was statistically significant. In the intervention group, orientation, visual perception, movement use, visual movement time and thinking operation were observed in the intervention group. Attention and concentration as well as the total score of LOCTA were statistically significant (P0.05). 2 the effect of meditation training on anxiety and depression in stroke patients: there was no significant difference in HAMA,HAMD score before intervention between the two groups (P0.05). After 1 month and 3 months of intervention, the HAMA,HAMD scores in the intervention group were lower than those before intervention, the difference was statistically significant (P0.05). There was no significant difference in HAMA,HAMD score between the two groups 1 month after intervention (P0.05), while the difference in HAMA,HAMD score was statistically significant 3 months after intervention (P0.05). Conclusion Meditation training can improve cognitive dysfunction, anxiety and depression in stroke patients, and the effect of meditation training intervention for 3 months is better than that for 1 month.
【学位授予单位】：华北理工大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.74
【参考文献】
相关期刊论文 前10条
1 潘笑楠;王玉鑫;周曙;张小远;王优;;注意训练和视知觉训练对视觉能力改善效果的比较研究[J];中国全科医学;2016年18期
2 杨莲清;吴向明;;曼陀罗彩绘小组对中学生情绪健康的影响研究[J];时代教育;2016年04期
3 周颖;孙阁;;中医治疗脑卒中后中枢性疼痛临床研究进展[J];湖南中医杂志;2015年10期
4 曹建平;何松彬;戴方瑜;寇雪莲;蔡礼松;;针灸配合体外冲击波治疗脑卒中后肩痛39例[J];中国现代医生;2015年23期
5 杜晋峰;江华;郑晓梅;;脑卒中后抑郁的相关因素分析[J];西部医学;2015年06期
6 王国立;李建民;赵雅宁;郝正玮;孙竹梅;;应用正念冥想训练对脑梗死后肩手综合征患者康复效果观察[J];中国煤炭工业医学杂志;2014年12期
7 王鑫;孙彩花;施伟;杨阳;高长云;;音乐疗法对卒中后认知障碍的临床疗效[J];实用临床医药杂志;2014年19期
8 袁水莲;谢建芳;黄冬华;钟华;刘旺林;郭隆润;;冥想放松训练联合药物治疗焦虑症的效果[J];全科护理;2014年26期
9 廖红珍;吴国友;杨素芬;张月嫦;毛德莲;刘甘平;张文嫒;;冥想训练减轻腹部手术患者术后疼痛的效果观察[J];护理管理杂志;2014年06期
10 汪艳;韩遵民;张兆蓬;张智龙;吴炳忠;;调神通络针法联合电针及重复经颅磁刺激治疗老年抑郁症36例临床观察[J];中医杂志;2014年10期
相关博士学位论文 前2条
1 冯晓东;电针神庭、百会对脑卒中后认知障碍的临床及机制研究[D];福建中医药大学;2013年
2 鹿麒麟;身心调节训练的大脑功能与结构特性改变研究[D];大连理工大学;2012年
相关硕士学位论文 前2条
1 闫慧;正念冥想训练对大学生情绪状态的调节[D];山西医科大学;2014年
2 曹宸;短期整体身心调节训练提高执行控制功能及其脑机制[D];大连理工大学;2013年
，本文编号：2461430
本文链接：https://www.wllwen.com/linchuangyixuelunwen/2461430.html
最近更新
教材专著
