医患互动模式对偏瘫康复效果的影响

目的探讨医患互动模式对急性脑卒中后中重度偏瘫患者康复效果的影响。方法200例中重度偏瘫患者按家庭是否支持康复分为治疗组和对照组各100例,治疗组给以互动模式治疗。两组于康复前,康复后1个月、3个月、6个月、12个月时用美国卫生研究院卒中量表(NIHSS)、Fugl-Meyer评定(FMA)、Barthel指数(BI)进行评分,1年后采用老年抑郁量表(GDS)评定抑郁。结果两组间比较,治疗组各项指标3个月时改善最大(P<0.01),BI于6个月、1年后仍有非常显著性差异(P<0.01),抑郁发生率明显低于对照组(P<0.01)。结论医患互动模式可改善中重度偏瘫康复效果。

Doctor-patient Interaction Model Improve the Outcome of Rehabilitation in Hemiplegia

Objective To investigate the effect of Doctor-patient Interaction Model on hemiplegia after acute stroke.Methods 200 cases with mderate to severe hemiplegia were divided into treatment group and the control group with each 100 cases according to whether their family supporting rehabilitation.Cases in treatment group received interaction model rehabilitation.They were assessed with National Institutes of Health Stroke Scale(NIHSS),Fugl-Meyer Assessment(FMA),Barthel Index(BI)10 d,1 month,3 months,6 months,12 months after rehabilitation,and the Geriatric Depression Scale(GDS)1 year after rehabilitation.Results The scores in all the assessment of the cases in the treatment group improve mostly 3 month after rehabilitation(P<0.01),while the BI improved 6-12 month after rehabilitation(P<0.01).The incidence of depression reduced 18% compared with that of the control group(P<0.01).Conclusion Doctor-patient interaction can improve the outcome of patients with moderate to severe hemiplegia.