小组模式作业治疗对伴有情绪障碍脑卒中患者的康复疗效观察

目的研究小组作业治疗对伴有情绪障碍脑卒中患者的康复疗效。方法选择72例脑卒中患者,采用随机数字表随机分为小组作业治疗组(研究组)和常规作业治疗组(对照组),于治疗前、治疗4周后分别采用汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评测焦虑及抑郁情况;采用蒙特利尔认知评估量表(MoCA)评测认知情况;采用简化Fugl-Meyer量表(FMA)评定运动功能;采用改良Barthel指数量表(MBI)评定日常生活活动能力。结果治疗4周后,两组患者HAMA、HAMD、MoCA、FMA、MBI评分较治疗前明显改善(P<0.05),且研究组HAMA(10.80±2.39)分、HAMD(15.34±3.96)分、MoCA(24.61±4.72)分、FMA(74.16±8.12)分、MBI(75.6±12.11)分均显著优于对照组HAMA(14.79±3.42)分、HAMD(20.77±3.85)分、MoCA(20.83±4.90)分、FMA(62.34±7.91)分、MBI(64.14±10.71)分,组间差异均具有统计学意义(P<0.05)。结论小组作业治疗能够改善脑卒中患者情绪状态及认知水平,提高运动功能及日常生活能力,康复疗效优于常规一对一作业治疗,该治疗模式值得在临床康复中推广。

Rehabilitation effect of group occupational therapy on stroke patients with emotional disorder

Objective To study the rehabilitation effect of group occupational therapy on stroke patients with emotional disorder.Me thods 72 stroke patients were randomly divided into group occupational therapy group(study group)and routine occupational therapy group(control group)by random number table.Anxiety and depression were assessed by Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)before and 4 weeks after treatment;Montreal Cognitive Assessment Scale(MoCA)was used to evaluate cognition;Simplified Fugl-Meyer scale(FMA)was used to evaluate motor function;The modified Barthel Index Scale(MBI)was used to evaluate the activities of daily living.Re s ults After 4 weeks of treatment,the scores of HAMA,HAMD,MoCA,FMA and MBI in the two groups were significantly improved compared with those before treatment(P<0.05),and the scores of HAMA(10.80±2.39),HAMD(15.34±3.96),MoCA(24.61±4.72),FMA(74.16±8.12)and MBI(75.6±12.11)in the study group were significantly better than those in the control group with HAMA(14.79±3.42),HAMD(20.77±3.85),MoCA(20.83±4.90),FMA(62.34±7.91)and MBI(64.14±10.71),the difference between the groups was statistically significant(P<0.05).Conclus ion Group occupational therapy can improve the emotional state and cognitive level of stroke patients,improve motor function and ability of daily living.The rehabilitation effect is better than conventional one-to-one occupational therapy.This treatment mode is worthy of being popularized in clinical rehabilitation.