摘要
目的:探讨视频认知和反馈训练对卒中后抑郁患者康复疗效的影响。方法:将经汉密尔顿抑郁量表评测(HAMD≥8)68例脑卒中的患者,随机分成两组,视频组和对照组。两组患者均接受常规康复治疗及药物治疗,视频组用彩色摄像设备记录康复治疗前、康复治疗后1周、2周、4周、6周、8周后的上肢运动功能、下肢运动功能、坐位及站位平衡功能、站起功能、日常生活活动的视频资料,治疗师和患者每两周观看录制的视频。于康复治疗前、康复治疗后4周、8周后采用汉密顿抑郁量表(HAMD)评定抑郁程度;采用Fugl-Meyer运动功能量表(FMA)评定肢体运动功能;采用改良Barthel指数(MBI)评定日常生活活动能力;采用卒中影响量表(stroke impact scale,SIS)评定生存质量。结果:治疗前评定,治疗组和对照组HAMD、FMA、MBI、SIS评分组间差异均无显著性意义(P>0.05)。治疗4周后,治疗组HAMD、FMA、MBI、SIS评分分别为(14.7±4.3)分、(43.2±8.6)分、(52.3±9.1)分和(67.5±9.8)分;对照组分别为(18.1±6.0)分、(38.3±7.7)分、(46.3±8.8)分和(58.3±8.5),HAMD组间比较差异有显著性意义(P<0.05)。治疗8周后,治疗组HAMD、FMA、MBI、SIS评分分别为(11.3±4.3)分、(55.2±9.3)分、(65.8±9.9)分和(79.9±9.6)分;对照组分别为(15.3±4.5)分、(46.1±8.5)分、(53.8±9.4分)和(66.3±9.7)分,经比较,治疗组各项评分均较对照组明显改善,组间差异有显著性意义(P<0.05)。结论:视频认知和反馈训练可提高卒中后抑郁患者康复治疗的疗效。
Objective： To explore the effect of video cognitive and feedback training on the rehabilitation outcome in pa- tients with post-stroke depression （PSD）. Method： Sixty-eight stroke patients of Hamilton depression scale（HAMD） 〉8 were randomly divided into video cognitive and feedback training group and control group. Both two groups received routine medication treat- ment and rehabilitation therapy. Activities of video group patients, such as the function of upper and lower limbs, sitting and stance balance, from sit to stand and activities of daily living, were recorded by digital cam- era. Then the therapists and patients watched the videos together to recognize the advancement and shortcom- ings biweekly. Both two groups were evaluated by HAMD, Fugl-Meyer assessment （FMA）, modified Barthel in- dex （MBI） and stroke impact scale （SIS） before and after four- and eight-week rehabilitation treatment. Result： Before treatment, no significant difference was found in the scores of HAMD, FMA, MBI and SIS be- tween both groups （P〉0.05）. At the 4th week after intervention, the scores of HAMD, FMA, MBI, and SIS were 14.7±4.3,43.2±8.6,52.3±9.1and 67,5±9.8 respectively in the treatment group, and 18.1±6.0,38.3±7.7,46.3±8.8,and 58.3±8.5 respectively in the control group. Only HAMD in video group was significantly higher than that in the control group （P〈0.05）. At the 8th week after treatment, HAMD, FMA, MBI and SIS scores were 11.3±4.3,55.2±9.3,65.8±9.9 and 79.9±9.6 respectively in video group, and 15.3±4.5,46.1±8.5,53.8±9.4 and 66.3±9.7 respectively in the control group. The scores of HAMD, MA, BI, and SIS were all higher in video group than those in the control group at any point in time after training, and the differences between both groups were significant （P〈0.05）. Conclusion： The rehabilitation outcome of the PSD patients could effectively improved by video cognitive and feedback training.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2015年第12期1234-1237,共4页
Chinese Journal of Rehabilitation Medicine
关键词
视频认知训练
视频反馈训练
卒中后抑郁
康复
video cognitive training
video feedback training
post-stroke depression
rehabilitation
