目的 探讨脑血管疾病患者实行认知行为干预和运动疗法的临床效果.方法 病历资料选取于2021年1月～2023年1月区间,入选对象为医院收治的脑血管疾病患者,共计入选90例,"简单随机化方法"原则做1:1分组各45例,划分为对照组(实行常规治疗和康复训练)与观察组(同时开展认知行为干预和运动疗法);观察对比两组焦虑抑郁程度、心理弹性、神经功能缺损程度和生活能力.结果 干预后,两组焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)评分均降低,且观察组较对照组更低(P＜0.05);干预后,两组心理弹性量表(Connor Davidson-Resilience scale,CD-RISC)评分呈不同程度升幅,且观察组升幅更显著(P＜0.05);经干预后,两组巴氏指数(Barthel Index,BI)评分均显著升高,美国国立卫生研究院卒中量表(the National Institutes of Health Stroke Scale,NIHSS)评分均明显下降,且观察组更优(P＜0.05).结论 脑血管疾病患者辅助开展认知行为干预联合运动疗法,一方面发挥减轻焦虑抑郁、维持健康心理状态的积极作用,另一方面有利于患者神经功能恢复及提高肢体功能.
Effect of cognitive behavior intervention combined with exercise therapy on stroke patients
Objective To explore the clinical effect of cognitive behavioral intervention and exercise therapy in patients with Cerebrovascular disease.Methods The medical records were selected from January 2021 to Janu-ary 2023.Totally 90 patients with Cerebrovascular disease were selected.45 patients were divided into the control group(routine treatment and rehabilitation training)and the observation group(cognitive behavioral intervention and exer-cise therapy at the same time)according to the principle of"simple randomization".The degree of anxiety and depres-sion,Psychological resilience,neurological deficit and living ability of the two groups were observed and compared.Results After intervention,the scores of Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)in both groups decreased,and the observation group had lower scores than the control group(P＜0.05).After the inter-vention,the scores of the Connor Davidson Resilience Scale(CD-RISC)in the two groups increased in varying degrees,and the increase in the observation group was more significant(P＜0.05).After intervention,the Barthel Index(BI)scores were significantly increased in both groups,while the National Institutes of Health Stroke Scale(NIHSS)scores were significantly decreased in both groups,and the observation group was better(P＜0.05).Conclusion The cog-nitive behavioral intervention combined with exercise therapy for patients with Cerebrovascular disease can play an ac-tive role in alleviating anxiety and depression and maintaining healthy mental state,on the other hand,it is conducive to the recovery of neurological function and improvement of limb function of patients,and achieve ideal prognosis.
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