摘要
目的 探讨品管圈活动在脑卒中并发抑郁患者恢复期康复治疗中的应用效果.方法 收集脑卒中合并抑郁患者80例,采用数字表法随机分成对照组和品管圈组,每组40例.对照组进行常规康复内科护理常规、康复功能锻炼及药物治疗,品管圈组在对照组基础上开展品管圈活动,比较两组日常生活活动能力(Barthel指数量表)、抑郁程度(汉密顿抑郁量表,HAMD)、康复锻炼依从性.结果 干预后,对照组Barthel评分、HAMD评分、康复锻炼依从性评分分别为(33.50±6.22)分、(22.23±3.30)分、(2.70±1.32)分,品管圈组分别为(54.13±8.84)分、(14.75±4.14)分、(4.45±0.90)分,两组Barthel评分(t=15.06、26.03,均P〈0.01)和康复锻炼依从性评分(t=1.78、12.2,均P〈0.01)均有提高,品管圈组均高于对照组(t=12.10、6.90,均P〈0.01),两组抑郁程度评分均有下降(t=13.35、25.78,均P〈0.01),品管圈组下降幅度优于对照组(t=8.93,P〈0.01).结论 在脑卒中并发抑郁患者恢复期的康复治疗中应用品管圈活动,能有效降低患者抑郁程度,提高患者日常生活活动能力和康复锻炼依从性.
Objective To explore the effect of Quality Control Circle(QCC) on patients in the recovery phase with post stroke depression at rehabilitation therapy.Methods 80 patients in the recovery phase with post stroke depression were collected.According to the digital table, they were randomly divided into control group and QCC group,40 cases in each group.All the patients got treatment as rehabilitation medical care routine, rehabilitation exercise and medical treatement.And patients of QCC group received extra QCC management.The activities of daily living(Barthel Index Scale),severity of depression(Hamilton Depression Scale HAMD),rehabilitation exercises compliance were evaluated in the two groups.Results After intervention, the scores of ADL,HAMD and rehabilitation exercises compliance in the control group were (33.50±6.22)points,(22.23±3.30)points,(2.70±1.32)points,respectively,which in the QCC group were (54.13±8.84)points,(14.75±4.14)points,(4.45±0.90)points,respectively.The scores of activities of daily living(ADL)(t=15.06,26.03,all P〈0.01) and rehabilitation exercises compliance(t=1.78,12.2,all P〈0.01) had been improved, which in the QCC group was more obvious(t=12.10,6.90,all P〈0.01)).The depression scores in both two groups were decreased(t=13.35,25.78,all P〈0.01),and the decrease in the QCC group was significantly higher than that in the control group(t=8.93,P〈0.01).Conclusion QCC application in post stroke depression at the recovery phase can effectively reduce the degree of depression, improve patients' ADL and rehabilitation exercise compliance.
出处
《中国基层医药》
CAS
2017年第10期1441-1444,共4页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省医药卫生科技计划项目(2013ZHB018)
关键词
卒中
恢复期
抑郁
模型
组织管理
日常生活活动
Stroke
Recovery phase
Depression
Models
Organizational
Activities of daily living