常规康复训练联合心理康复缓解卒中后疲劳的疗效观察

发布时间：2018-06-07 14:07

本文选题：心理康复 + 脑卒中　；参考：《现代预防医学》2017年02期

【摘要】：目的观察常规康复训练联合心理康复改善卒中患者疲劳症状(Post-Stroke Fatigue,Po SF)的临床效果。方法将2015年5月-2016年5月期间在南昌大学第一附属医院康复医学科就诊的60例脑卒中后疲劳患者随机分为对照组(n=30)和试验组(n=30),2组均接受常规康复训练。试验组联合综合心理康复,每周3次,共8周。分别在干预前后实施疲劳严重程度量表(Fatigue Severity Scale,FSS)、日常生活能力Barthel指数(Barthel index,BI)的测评与分析。结果干预前,2组患者FSS评分和BI指数差异均无统计学意义(P均0.05)。干预后,2组患者FSS得分均减少、BI指数均提高,试验组患者各指标变化更明显,差异有统计学意义(P均0.05);试验组Po SF症状检出率为29.63%(8/27),对照组检出率为57.69%(15/26),差异有统计学意义(χ~2=4.246,P=0.039)。结论常规康复训练联合心理康复有助于缓解脑卒中患者的疲劳症状。
[Abstract]:Objective to observe the clinical effect of routine rehabilitation training combined with psychological rehabilitation in improving fatigue symptoms of stroke patients (Post-Stroke FatiguePo). Methods from May 2015 to May 2016, 60 patients with post-stroke fatigue were randomly divided into two groups: control group (n = 30) and experimental group (n = 2) received routine rehabilitation training. Experimental group combined with comprehensive psychological rehabilitation, 3 times a week, a total of 8 weeks. Before and after intervention, fatigue Severity scale (FSS) and Barthel index (Barthel index) were used to measure and analyze the fatigue severity. Results there was no significant difference in FSS score and BI index between the two groups before intervention (P < 0.05). After intervention, the FSS scores of both groups decreased and BI index increased, the indexes of the patients in the trial group were more obvious, the difference was statistically significant (P < 0.05), the detection rate of Po SF symptoms in the trial group was 29.63% and 827%, and that in the control group was 57.69% / 26%, the difference was statistically significant (蠂 ~ (24) 246P ~ (0.039). Conclusion routine rehabilitation training combined with psychological rehabilitation is helpful to alleviate the fatigue symptoms of stroke patients.
【作者单位】：南昌大学第一附属医院康复医学科;南昌大学第一附属医院心身医学科;
【基金】：江西省科技计划项目(编号:20132BBG70069) 江西省卫生计生委科技计划(项目编号:20165119) 江西省教育厅科学技术研究重点项目(项目编号:GJJ150038)
【分类号】：R743.3

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