《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (08): 775-777.

• 论文 • 上一篇    下一篇

作业疗法对卒中后抑郁的疗效

由丽，赵鹏，刘莉，饶江，邵伟波   

  1. 1.南京医科大学附属脑科医院康复医学科，江苏南京市210029；2.南京大学医学院附属鼓楼医院医学心理科，江苏南京市210008。
  • 收稿日期:2012-11-09 修回日期:2013-04-11 出版日期:2013-08-25 发布日期:2013-08-25
  • 通讯作者: 邵伟波

Effect of Occupational Therapy on Post Stroke Depression

YOU Li, ZHAO Peng, LIU Li, et al.   

  1. Department of Rehabilitation, Brain Hospital Affiliated to Nanjing Medical University, Nanjing 210029, Jiangsu, China
  • Received:2012-11-09 Revised:2013-04-11 Published:2013-08-25 Online:2013-08-25

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摘要： 目的探讨作业疗法对卒中后抑郁患者抑郁情绪及日常生活活动能力(ADL)的作用。方法42 例卒中后抑郁患者分为作业组和对照组，各21 例。在常规治疗基础上，作业组强化ADL训练，并针对性地进行文体活动和音乐欣赏。治疗前后采用改良Bathel 指数(MBI)及汉密尔顿抑郁量表(HAMD)进行效果评价。结果4 周后两组MBI 评分显著提高，HAMD评分显著下降(P<0.001)，且作业组改善明显优于对照组(P<0.01)。结论作业疗法不仅能提高卒中后抑郁患者的ADL，且有利于抑郁情绪的改善。

关键词: 卒中后抑郁, 作业疗法, 日常生活活动能力

Abstract: Objective To explore the effect of occupational therapy (OT) on the depressive mood and activity of daily living (ADL) in patients with post stroke depression (PSD). Methods 42 patients with PSD were divided into OT group (n=21) and control group (n=21).Both 2 groups received routine therapy, and OT group received ADL training, selective recreation and sport and appreciation of music in addition.They were evaluated by modified Bathel index (MBI) and Hamilton Self-rating Scale for Depression (HAMD) before and after treatment.Results The scores of MBI increased and the scores of HAMD decreased significantly after 4 weeks in both 2 groups (P<0.001), especially in the OT group (P<0.01). Conclusion OT can improve not only ADL, but also the depressive mood in patients with PSD.

Key words: post stroke depression, occupational therapy, activities of daily living