冥想訓(xùn)練對腦卒中患者認知功能障礙及情緒障礙的影響
發(fā)布時間：2019-04-20 07:58
【摘要】：目的觀察冥想訓(xùn)練對腦卒中后認知功能障礙及焦慮、抑郁的康復(fù)護理效果,為腦卒中患者康復(fù)訓(xùn)練和康復(fù)護理提供新的方法。方法選取2015年10月~2016年7月唐山工人醫(yī)院康復(fù)中心住院治療的腦卒中認知功能障礙合并焦慮與抑郁患者100例,采用數(shù)字表法將患者隨機分為對照組50例和干預(yù)組50例。對照組采用常規(guī)神經(jīng)內(nèi)科治療和康復(fù)護理,同時進行運動治療和作業(yè)治療等肢體功能訓(xùn)練和認知訓(xùn)練,每次訓(xùn)練40分鐘,每周訓(xùn)練5次。干預(yù)組在對照組治療的基礎(chǔ)上進行冥想訓(xùn)練,主要內(nèi)容為臺灣郭懷慈的音樂冥想結(jié)合日本七田真的右腦開發(fā)技術(shù);具體訓(xùn)練步驟為:(1)患者在康復(fù)護士引導(dǎo)下進行音樂冥想訓(xùn)練;(2)患者對曼陀羅卡片進行顏色填涂;(3)患者通過黃卡進行殘像練習(xí)并畫圖;(4)對橘子的外形、紋理、顏色、氣味進行想象,然后復(fù)述。每次訓(xùn)練時間為36分鐘,每周訓(xùn)練5次,于訓(xùn)練前、訓(xùn)練1個月、3個月采用LOTCA、HAMA、HAMD對兩組患者進行三期評價。將所有數(shù)據(jù)輸入Excel數(shù)據(jù)庫,采用SPSS18.0軟件進行統(tǒng)計分析。計數(shù)資料采用χ2檢驗,等級資料采用秩和檢驗。計量資料用(?)±s表示,采用獨立樣本t檢驗及方差分析。P0.05為差異有統(tǒng)計學(xué)意義。結(jié)果1冥想訓(xùn)練對腦卒中患者認知功能的影響:兩組患者干預(yù)前LOTCA評分比較差異無統(tǒng)計學(xué)意義(P0.05)。干預(yù)1個月、3個月后干預(yù)組LOTCA評分與干預(yù)前比較差異有統(tǒng)計學(xué)意義(P0.05)。干預(yù)1個月后兩組患者注意力及專注力評分的差值比較有統(tǒng)計學(xué)意義(P0.05),其余維度及LOTCA總分差值均無統(tǒng)計學(xué)意義(P0.05)。干預(yù)3個月后兩組患者LOTCA評分的差值比較有統(tǒng)計學(xué)意義,干預(yù)組在定向、視知覺、動作運用、視運動時間、思維操作、注意力及專注以及LOCTA總分均有統(tǒng)計學(xué)意義(P0.05)。2冥想訓(xùn)練對腦卒中患者焦慮及抑郁的影響:兩組患者干預(yù)前HAMA、HAMD評分比較差異無統(tǒng)計學(xué)意義(P0.05)。干預(yù)1個月、3個月后干預(yù)組HAMA、HAMD評分與干預(yù)前比較均有降低,差異有統(tǒng)計學(xué)意義(P0.05)。干預(yù)1月后兩組患者HAMA、HAMD評分差值比較無統(tǒng)計學(xué)意義(P0.05),而干預(yù)3個月后HAMA、HAMD評分差值比較有統(tǒng)計學(xué)意義(P0.05)。結(jié)論冥想訓(xùn)練可以改善腦卒中患者的認知功能障礙、焦慮和抑郁,且冥想訓(xùn)練干預(yù)3個月比干預(yù)1個月的效果更好。
[Abstract]:Objective to observe the effect of meditation training on rehabilitation nursing of cognitive dysfunction, anxiety and depression after stroke, and to provide a new method for rehabilitation training and rehabilitation nursing of stroke patients. Methods from October 2015 to July 2016, 100 stroke patients with cognitive dysfunction complicated with anxiety and depression were randomly divided into control group (n = 50) and intervention group (n = 50). The patients in the control group were treated with routine neuromedical treatment and rehabilitation nursing, and the limb function training and cognitive training were performed at the same time, such as exercise therapy and job therapy, each time for 40 minutes and 5 times a week. The intervention group was trained on the basis of the treatment of the control group. The main contents were the music meditation of Guo Huai-ci in Taiwan combined with the right brain development technique of Japan. The specific training steps are as follows: (1) the patients perform music meditation training under the guidance of rehabilitation nurses; (2) the patients fill in the color of the mandola card; (3) the patient exercises and draws pictures through the yellow card; (4) imagine the shape, texture, color and smell of oranges, and then repeat them. The training time was 36 minutes and the training time was 5 times a week. Before training, one month and three months after training, LOTCA,HAMA,HAMD was used to evaluate the two groups of patients in three phases. All the data were inputted into Excel database and analyzed by SPSS18.0 software. 蠂 2 test was used for counting data and rank sum test was used for grade data. The measurement data were expressed by (?) 鹵s, the independent sample t test and ANOVA were used. The difference was statistically significant (P0.05). Results 1 the effect of meditation training on cognitive function of stroke patients: there was no significant difference in LOTCA score before intervention between the two groups (P0.05). There was significant difference in LOTCA score between the intervention group and the pre-intervention group at 1 month and 3 months after intervention (P0.05). One month after intervention, the difference of attention and focus score between the two groups was statistically significant (P0.05), but there was no significant difference in the other dimensions and the total score of LOTCA (P0.05). After 3 months of intervention, the difference of LOTCA score between the two groups was statistically significant. In the intervention group, orientation, visual perception, movement use, visual movement time and thinking operation were observed in the intervention group. Attention and concentration as well as the total score of LOCTA were statistically significant (P0.05). 2 the effect of meditation training on anxiety and depression in stroke patients: there was no significant difference in HAMA,HAMD score before intervention between the two groups (P0.05). After 1 month and 3 months of intervention, the HAMA,HAMD scores in the intervention group were lower than those before intervention, the difference was statistically significant (P0.05). There was no significant difference in HAMA,HAMD score between the two groups 1 month after intervention (P0.05), while the difference in HAMA,HAMD score was statistically significant 3 months after intervention (P0.05). Conclusion Meditation training can improve cognitive dysfunction, anxiety and depression in stroke patients, and the effect of meditation training intervention for 3 months is better than that for 1 month.
【學(xué)位授予單位】：華北理工大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.74
本文編號：2461430
[Abstract]:Objective to observe the effect of meditation training on rehabilitation nursing of cognitive dysfunction, anxiety and depression after stroke, and to provide a new method for rehabilitation training and rehabilitation nursing of stroke patients. Methods from October 2015 to July 2016, 100 stroke patients with cognitive dysfunction complicated with anxiety and depression were randomly divided into control group (n = 50) and intervention group (n = 50). The patients in the control group were treated with routine neuromedical treatment and rehabilitation nursing, and the limb function training and cognitive training were performed at the same time, such as exercise therapy and job therapy, each time for 40 minutes and 5 times a week. The intervention group was trained on the basis of the treatment of the control group. The main contents were the music meditation of Guo Huai-ci in Taiwan combined with the right brain development technique of Japan. The specific training steps are as follows: (1) the patients perform music meditation training under the guidance of rehabilitation nurses; (2) the patients fill in the color of the mandola card; (3) the patient exercises and draws pictures through the yellow card; (4) imagine the shape, texture, color and smell of oranges, and then repeat them. The training time was 36 minutes and the training time was 5 times a week. Before training, one month and three months after training, LOTCA,HAMA,HAMD was used to evaluate the two groups of patients in three phases. All the data were inputted into Excel database and analyzed by SPSS18.0 software. 蠂 2 test was used for counting data and rank sum test was used for grade data. The measurement data were expressed by (?) 鹵s, the independent sample t test and ANOVA were used. The difference was statistically significant (P0.05). Results 1 the effect of meditation training on cognitive function of stroke patients: there was no significant difference in LOTCA score before intervention between the two groups (P0.05). There was significant difference in LOTCA score between the intervention group and the pre-intervention group at 1 month and 3 months after intervention (P0.05). One month after intervention, the difference of attention and focus score between the two groups was statistically significant (P0.05), but there was no significant difference in the other dimensions and the total score of LOTCA (P0.05). After 3 months of intervention, the difference of LOTCA score between the two groups was statistically significant. In the intervention group, orientation, visual perception, movement use, visual movement time and thinking operation were observed in the intervention group. Attention and concentration as well as the total score of LOCTA were statistically significant (P0.05). 2 the effect of meditation training on anxiety and depression in stroke patients: there was no significant difference in HAMA,HAMD score before intervention between the two groups (P0.05). After 1 month and 3 months of intervention, the HAMA,HAMD scores in the intervention group were lower than those before intervention, the difference was statistically significant (P0.05). There was no significant difference in HAMA,HAMD score between the two groups 1 month after intervention (P0.05), while the difference in HAMA,HAMD score was statistically significant 3 months after intervention (P0.05). Conclusion Meditation training can improve cognitive dysfunction, anxiety and depression in stroke patients, and the effect of meditation training intervention for 3 months is better than that for 1 month.
【學(xué)位授予單位】：華北理工大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.74
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