【摘要】：目的觀察作業(yè)療法結(jié)合家庭環(huán)境改造對(duì)腦卒中患者日常生活活動(dòng)能力及負(fù)性情緒的影響。方法按隨機(jī)數(shù)字表將120例腦卒中患者分成觀察組60例和對(duì)照組60例。對(duì)照組給予腦卒中二級(jí)預(yù)防治療干預(yù),觀察組在對(duì)照組基礎(chǔ)上落實(shí)家庭環(huán)境改造,同時(shí)給予為期3個(gè)月的作業(yè)療法干預(yù)。在患者出院入社區(qū)時(shí),入社區(qū)1個(gè)月、2個(gè)月、3個(gè)月,分別進(jìn)行改良Barthel指數(shù)和Frenchay活動(dòng)指數(shù)量表評(píng)價(jià)兩組患者的日常生活活動(dòng)能力,采用漢密爾頓抑郁量表評(píng)定兩組患者負(fù)性情緒。結(jié)果兩組患者在進(jìn)入社區(qū)時(shí)改良Barthel指數(shù)評(píng)分、Frenchay活動(dòng)指數(shù)量表評(píng)分、漢密爾頓抑郁量表評(píng)分比較差異無統(tǒng)計(jì)學(xué)意義(P0.05),入社區(qū)1~3個(gè)月時(shí)兩組患者的改良Barthel指數(shù)評(píng)分、Frenchay活動(dòng)指數(shù)量表評(píng)分、漢密爾頓抑郁量表評(píng)分均有不同程度改善,2個(gè)月及3個(gè)月時(shí)觀察組患者Barthel指數(shù)評(píng)分良好占比例數(shù)、Frenchay活動(dòng)指數(shù)量表評(píng)分與對(duì)照組比較,差異有統(tǒng)計(jì)學(xué)意義,3個(gè)月時(shí)觀察組患者漢密爾頓抑郁量評(píng)分與對(duì)照組比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論采用作業(yè)療法結(jié)合家庭環(huán)境改造可改善腦卒中患者日常生活活動(dòng)能力和負(fù)性情緒。
[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.
【作者單位】： 浙江省嘉興市南湖區(qū)鳳橋鎮(zhèn)衛(wèi)生院;浙江省嘉興市第二醫(yī)院;
【分類號(hào)】：R743.3

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