心理支持配合早期康复干预对缺血性脑卒中患者康复的效果评价

目的:研究缺血性脑卒中患者实施心理支持配合早期康复的疗效。方法:将160例缺血性脑卒中患者随机分为观察组和对照组各80例,2组患者均给予常规治疗,观察组在此基础上给予心理支持加早期康复干预。干预前后分别采用改良Barthel指数(MBI)、Fugl-Meyer量表(FMA)、汉密尔顿抑郁量表(HAMD)对患者进行评估,并进行临床疗效和医护工作的满意度调查。结果:干预6周后,2组患者MBI、FMA评分均明显高于干预前(均P<0.05),观察组2项评分均高于对照组(均P<0.05)。干预6周后,2组患者HAMD评分均明显低于干预前(均P<0.05),观察组HAMD评分明显低于对照组(P<0.05);观察组总有效率及对医护工作的总满意度明显高于对照组(均P<0.05)。结论:心理支持配合早期康复干预可有效促进缺血性脑卒中患者的康复,效果显著,值得临床推广应用。

Rehabilitation effect of psychological support combined with early intervention for patients with ischemic stroke

Objective: To study the curative effect of psychological support and early rehabilitation in ischemic stroke patients. Methods: 160 cases of ischemic stroke were selected as the research subjects, and randomly divided into observation group and control group (n=80 each). The routine treatment was accepted by the two groups. Also, the observation group was subjected to psychological support and early rehabilitation intervention. The modified Barthel index (MBI), Fugl-meyer scale (FMA) and Hamilton depression scale (HAMD) were used to evaluate the patients before and after the intervention, as well as the clinical efficacy and satisfaction of medical care work. Results: After 6 weeks of intervention, the MBI and FMA scores of the two groups were significantly higher than those before intervention (P<0.05), and the scores of the observation group were significantly higher than those of the control group (P<0.05). The HAMD scores in both groups were significantly lower than those before intervention (P<0.05), and scores in the observation group were significantly lower than those in the control group (P<0.05). The total effective rate and satisfaction in the observation group were significantly higher than those in the control group (P<0.05). Conclusion: Psychological support combined with early rehabilitation intervention can effectively promote the rehabilitation of ischemic stroke patients, and be worthy of clinical application.