园艺治疗对脑卒中偏瘫患者上肢功能和认知功能的效果

doi:10.3969/j.issn.1006-9771.2020.11.016

Abstract

Abstract:

Objective To explore the effects of horticultural therapy on upper limb function and cognitive impairment of hemiplegic patients after stroke.Methods From June, 2017 to March, 2019, 60 hemiplegic stroke patients were randomly divided into control group(n = 30) and experimental group (n= 30). All the patients accetped routine rehabilitation, while the experimental group received group-based horticulture therapy in addition, for eight weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremity (FMA-UE), modified Barthel Index (MBI) and Montreal Cognition Assessment (MoCA) before and after intervention.Results The scores of all the assessment improved in both groups after intervention (|t|> 8.077,P< 0.001), and improved more in the experimental group than in the control group (|t|> 2.293,P< 0.05).Conclusion Horticultural therapy can promote the recovery of upper-limb and cognitive function after stroke.

Key words: stroke, horticultural therapy, upper limb function, activities of daily living, cognition

CLC Number:

R743.3

WANG Ou-yang,ZHANG Qi-feng,DENG Hong-wei,WANG Quan,DU Cun-xi,TIAN Jiao-yan. Effects of Horticultural Therapy on Upper-limb Function and Cognition in Stroke Hemiplegic Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(11): 1339-1343.

Figures/Tables 5

References 26

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组别	n	性别(男/女, n)	年龄(岁)	卒中类型(梗死/出血, n)	病程(d)	受教育程度(年)
对照组	29	22/7	60.22±14.47	19/10	63.64±9.02	10.30±4.83
观察组	26	20/6	58.58±13.76	19/7	61.39±8.80	10.83±4.52
χ²/t值		0.009	0.429	0.367	0.934	-0.419
P值		0.926	0.669	0.545	0.354	0.677

主题	园艺活动	所需技能
我是花匠	介绍园艺项目并分享成功案例;介绍六种植物	认知：注意力、记忆力、辨认、定向定位社会心理：人际交流
	选择喜欢的植物及合适的花盆,种下植株;标记各自的名字	认知：辨认、记忆力、注意力、定向定位、执行能力、推理判断运动：粗大抓握、精细抓握、手的灵活性、上肢协调性感觉：本体感觉、视觉、触觉
	观察幼苗生长	认知：注意力、记忆力、辨认、执行能力感觉：视觉
精心培育	浇水、施肥;调整光照;松土;修剪花枝	认知：注意力、辨认、执行能力运动：上肢粗大运动、上肢协调性、粗大抓握、精细抓握、手的灵活性感觉：本体感觉、视觉、触觉
百花争艳	观察植物颜色;闻植物气味	认知：注意力、记忆力、辨认感觉：视觉、嗅觉、触觉
百花争艳	区分植物形状及大小、触感	认知：辨认、注意力、定向定位、执行能力、推理判断感觉：视觉、触觉
绿色回忆	对喜欢的植物进行讨论和展示;回忆照看植物的经历;分享活动心得	认知：辨认、记忆力、注意力、执行能力、逻辑思维感觉：视觉、嗅觉、触觉社会心理：自我认识,自我表达、人际交流

组别	n	治疗前	治疗后	t值	P值
对照组	29	19.21±8.61	33.76±11.13	-12.406	< 0.001
观察组	26	22.88±8.40	45.42±10.40	-16.448	< 0.001
t值		-1.600	-4.002
P值		0.116	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	29	33.28±19.19	47.76±18.35	-15.977	< 0.001
观察组	26	36.92±19.39	66.92±21.95	-20.817	< 0.001
t值		-0.700	-3.524
P值		0.487	0.001

组别	n	治疗前	治疗后	t值	P值
对照组	29	18.86±4.82	23.59±4.76	-8.077	< 0.001
观察组	26	17.61±5.08	26.12±3.15	-16.130	< 0.001
t值		0.934	-2.293
P值		0.355	0.023

Effects of Horticultural Therapy on Upper-limb Function and Cognition in Stroke Hemiplegic Patients

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