首页|延续性多学科诊疗对脑梗死介入术后患者焦虑、抑郁情绪及功能康复的影响

延续性多学科诊疗对脑梗死介入术后患者焦虑、抑郁情绪及功能康复的影响

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目的 探讨延续性多学科诊疗对脑梗死介入术后患者焦虑、抑郁情绪及功能康复的影响.方法 选择2022年9月至2023年2月上海健康医学院附属崇明医院神经外科接受治疗的120例脑梗死患者为研究对象,根据随机数字表法分为两组,每组60例.对照组给予常规护理,试验组在对照组的基础上采用延续性多学科诊疗,干预3个月.比较两组干预前后心理状态、肢体功能、日常生活活动能力和神经功能.结果 干预后,两组焦虑自评量表、抑郁自评量表、美国国立卫生研究院卒中量表评分均低于干预前,且试验组低于对照组(P<0.05).干预后,两组Fugl-Meyer运动功能量表、日常生活活动能力评估量表评分均高于干预前,且试验组高于对照组(P<0.05).结论 延续性多学科诊疗应用于脑梗死介入术后患者,可显著改善其心理状态,增强其肢体运动功能和日常生活能力,加快其神经功能恢复.
Influence on continuous multidisciplinary diagnosis and treatment on anxiety,depression,and functional recovery in patients with cerebral in-farction after interventional surgery
Objective To explore influence on continuous multidisciplinary diagnosis and treatment on anxiety,depression,and functional recovery in patients with cerebral infarction after interventional surgery.Methods A total of 120 patients with cerebral infarction received treatment at De-partment of Neurosurgery in Chongming Hospital Affiliated to Shanghai University of Medicine & Health Sciences from September 2022 to February 2023 were selected as research subjects.They were divided into two groups by random number table method,with 60 cases in each group.Control group received routine care,experimental group received continuous multidisciplinary diagnosis and treatment on the basis of control group,with intervention period of three months.Psychological status,limb function,daily living activity ability,and neurological function of two groups before and after intervention were compared.Results After intervention,the scores of self-rating anxiety scale,self-rating depression scale,and National Institutes of Health stroke scale in two groups were lower than those before intervention,and experimental group was lower than control group(P<0.05).After intervention,the scores of Fugl-Meyer motor function scale and activities of daily living assessment scale in two groups were higher than those before intervention,and experimental group was higher than control group(P<0.05).Conclusion The application of continuous multidisci-plinary diagnosis and treatment in patients with cerebral infarction after interventional surgery can significantly improve their psychological state,enhance their limb motor function and daily living ability,and accelerate their neurological function recovery.

Multidisciplinary diagnosis and treatmentContinuous interventionCerebral infarctionRehabilitation

黄欢欢、王强、杨妮妮、沈磊单、陈洁

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上海健康医学院附属崇明医院神经外科,上海 202150

上海健康医学院附属崇明医院呼吸内科,上海 202150

多学科诊疗 延续性干预 脑梗死 康复

上海市崇明区可持续发展科技创新行动计划

CKY2022-21

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(13)
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