《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (4): 351-355.

• 论文 • 上一篇    下一篇

自我效能训练对缺血性脑卒中偏瘫的疗效

吴保平，郝正玮，赵雅宁，刘海娟   

  1. 1.河北联合大学附属医院，河北唐山市063000；2.唐山市人民医院，河北唐山市063000；3.河北联合大学康复医学院，河北唐山市063000。
  • 收稿日期:2013-04-17 修回日期:2013-06-07 出版日期:2014-04-25 发布日期:2014-04-25
  • 通讯作者: 赵雅宁

Effects of Self-Efficacy Training on Hemiplegics after Stroke

WU Bao-ping, HAO Zheng-wei, ZHAO Ya-ning, et al.   

  1. Affiliated Hospital,Hebei United University, Tangshan 063000, Hebei, China
  • Received:2013-04-17 Revised:2013-06-07 Published:2014-04-25 Online:2014-04-25

PDF (PC)

被引次数

24

摘要： 目的观察综合康复结合自我效能训练对缺血性脑卒中偏瘫患者的疗效。方法60 例脑梗死偏瘫患者分为对照组1(n=20)、对照组2(n=20)和观察组(n=20)。三组均采用常规康复训练，对照组2 另外增加活动分析法，观察组另外增加活动分析法和自我效能训练。三组均在治疗前和8 周后采用Fugl-Meyer 运动量表、Berg 平衡量表、Zung 抑郁自评量表(SDS)、Zung 焦虑自评量表(SAS)、改良Barthel 指数和一般自我效能量表(GSES)进行评价。结果治疗后，观察组各项评分改善均优于对照组1 和对照组2(P<0.05)。结论综合康复结合自我效能训练能改善缺血性脑卒中偏瘫患者的情绪，提高训练效果，从而改善日常生活活动能力。

关键词: 缺血性脑卒中, 偏瘫, 综合康复, 自我效能训练

Abstract: Objective To explore the effect of comprehensive rehabilitation combined with self- efficacy training on hemiplegics after stroke. Methods 60 ischemic stroke patients following hemiplegia were divided into three groups: control group 1 (n=20), control group 2 (n=20), and experiment group (n=20). All the patients received routine rehabilitation, the control group 2 received tasks analysis approach,and the experiment group received tasks analysis approach and self-efficacy training. All the patients were evaluated by Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS), Self- rating Depression Scale (SDS), Self- rating Anxiety Scale (SAS), modified Barthel Index (MBI) and General Self-efficacy Scale (GSES) before and 8 weeks after treatment. Results The scores of FMA, BBS, SDS, SAS, MBI and GSES improved significantly in the experiment group than in the control group 1 and the control group 2 after treatment (P<0.05). Conclusion Comprehensive rehabilitation combined with self-efficacy training can improve the ability of mood and motion, and the activities of daily living of ischemic stroke patient with hemiplegia.

Key words: ischemic stroke, hemiplegia, comprehensive rehabilitation, self-efficacy training