作业疗法结合家庭环境改造对脑卒中患者日常生活活动能力及负性情绪的影响
发布时间：2019-06-14 02:29
【摘要】：目的观察作业疗法结合家庭环境改造对脑卒中患者日常生活活动能力及负性情绪的影响。方法按随机数字表将120例脑卒中患者分成观察组60例和对照组60例。对照组给予脑卒中二级预防治疗干预,观察组在对照组基础上落实家庭环境改造,同时给予为期3个月的作业疗法干预。在患者出院入社区时,入社区1个月、2个月、3个月,分别进行改良Barthel指数和Frenchay活动指数量表评价两组患者的日常生活活动能力,采用汉密尔顿抑郁量表评定两组患者负性情绪。结果两组患者在进入社区时改良Barthel指数评分、Frenchay活动指数量表评分、汉密尔顿抑郁量表评分比较差异无统计学意义(P0.05),入社区1~3个月时两组患者的改良Barthel指数评分、Frenchay活动指数量表评分、汉密尔顿抑郁量表评分均有不同程度改善,2个月及3个月时观察组患者Barthel指数评分良好占比例数、Frenchay活动指数量表评分与对照组比较,差异有统计学意义,3个月时观察组患者汉密尔顿抑郁量评分与对照组比较,差异有统计学意义(P0.05)。结论采用作业疗法结合家庭环境改造可改善脑卒中患者日常生活活动能力和负性情绪。
[Abstract]:Objective to observe the effect of occupational therapy combined with family environment transformation on the activity of daily living and negative emotion in stroke patients. Methods 120 patients with cerebral apoplexy were randomly divided into observation group (n = 60) and control group (n = 60). The control group was treated with secondary prevention and treatment of stroke, the observation group was treated with family environment transformation on the basis of the control group, and the occupational therapy intervention for a period of 3 months was given at the same time. When the patients were discharged into the community, one month, two months and three months into the community, the modified Barthel index and Frenchay activity index scale were used to evaluate the activity of daily living of the two groups, and the Hamilton depression scale was used to evaluate the negative emotion of the two groups. Results there was no significant difference in improved Barthel index score, Frenchay activity index scale score and Hamilton depression scale score between the two groups when they entered the community (P 0.05). The improved Barthel index score, Frenchay activity index scale score and Hamilton depression scale score of the two groups were improved to some extent when they entered the community. At 2 months and 3 months, the Barthel index score of the observation group was good. The score of Frenchay activity index scale was significantly different from that of the control group, and the Hamilton depression score of the observation group was significantly different from that of the control group at 3 months (P 0.05). Conclusion the activity of daily living and negative emotion of stroke patients can be improved by occupational therapy combined with family environment transformation.
【作者单位】： 浙江省嘉兴市南湖区凤桥镇卫生院;浙江省嘉兴市第二医院;
【分类号】：R743.3
[Abstract]:Objective to observe the effect of occupational therapy combined with family environment transformation on the activity of daily living and negative emotion in stroke patients. Methods 120 patients with cerebral apoplexy were randomly divided into observation group (n = 60) and control group (n = 60). The control group was treated with secondary prevention and treatment of stroke, the observation group was treated with family environment transformation on the basis of the control group, and the occupational therapy intervention for a period of 3 months was given at the same time. When the patients were discharged into the community, one month, two months and three months into the community, the modified Barthel index and Frenchay activity index scale were used to evaluate the activity of daily living of the two groups, and the Hamilton depression scale was used to evaluate the negative emotion of the two groups. Results there was no significant difference in improved Barthel index score, Frenchay activity index scale score and Hamilton depression scale score between the two groups when they entered the community (P 0.05). The improved Barthel index score, Frenchay activity index scale score and Hamilton depression scale score of the two groups were improved to some extent when they entered the community. At 2 months and 3 months, the Barthel index score of the observation group was good. The score of Frenchay activity index scale was significantly different from that of the control group, and the Hamilton depression score of the observation group was significantly different from that of the control group at 3 months (P 0.05). Conclusion the activity of daily living and negative emotion of stroke patients can be improved by occupational therapy combined with family environment transformation.
【作者单位】： 浙江省嘉兴市南湖区凤桥镇卫生院;浙江省嘉兴市第二医院;
【分类号】：R743.3
【相似文献】
相关期刊论文 前10条
1 闫晓梅;顾越;奈良，
本文编号：2499025
本文链接：https://www.wllwen.com/yixuelunwen/shenjingyixue/2499025.html
最近更新
教材专著
