[1]郑慧丽,蔡斌,岳晓东,等.奥塔戈运动干预结合音乐疗法在老年脑卒中患者临床护理中的应用及效果评价[J].西部中医药,2022,35(06):128-131.[doi:10.12174/j.issn.2096-9600.2022.06.32]
 ZHENG Huili,CAI Bin,YUE Xiaodong,et al.Application of Otago Exercise Programme Combined with Music Therapy in Clinical Care for Elderly Patients with Stroke and Evaluation of Its Effects[J].Western Journal of Traditional Chinese Medicine,2022,35(06):128-131.[doi:10.12174/j.issn.2096-9600.2022.06.32]
点击复制

奥塔戈运动干预结合音乐疗法在老年脑卒中患者临床护理中的应用及效果评价
分享到:

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年06期
页码:
128-131
栏目:
出版日期:
2022-06-15

文章信息/Info

Title:
Application of Otago Exercise Programme Combined with Music Therapy in Clinical Care for Elderly Patients with Stroke and Evaluation of Its Effects
作者:
郑慧丽, 蔡斌, 岳晓东, 肖茜
海南西部中心医院康复医学科,海南 儋州 571700
Author(s):
ZHENG Huili, CAI Bin, YUE Xiaodong, XIAO Qian
Rehabilitation Medicine Department, Hainan Western Central Hospital, Danzhou 571700, China
关键词:
脑卒中奥塔戈运动音乐疗法护理跌倒
Keywords:
strokeOEPmusic therapynursingfalling
分类号:
R248.1
DOI:
10.12174/j.issn.2096-9600.2022.06.32
文献标志码:
B
摘要:
目的探究奥塔戈运动(otago exercise programme,OEP)干预结合音乐疗法在老年脑卒中患者临床护理中的应用效果。 方法选择老年脑卒中患者120例,按照随机数表法分成观察组和对照组,每组60例。对照组采用常规干预,观察组采用OEP干预结合音乐疗法,共干预16周。比较两组干预前后跌倒效能(modified falls efficacy scale,MFES)、平衡能力(berg balance scale,BBS)、步行能力(time up and go test,TUGT)、肢体运动能力(Fugl-Meyer assessment,FMA)、日常生活能力(Barthel评分)、生活质量(quality of life 30,QOL-30评分)、焦虑(self-rating anxiety scale,SAS)、抑郁(self-rating depression scale,SDS)评分,并比较干预后两组护理满意度评分。 结果干预后,两组MFES评分、BBS评分、Barthel评分、QOL-30评分、FMA评分及护理满意度各维度评分均高于干预前,且观察组均高于对照组(P<0.05),两组TUGT时间、SAS评分及SDS评分均低于干预前,且观察组均低于对照组(P<0.05)。 结论采用OEP干预结合音乐疗法能够有效提高老年脑卒中患者躯体运动功能,避免跌倒,改善其不良情绪,提高其日常生活能力、生活质量及护理满意度。
Abstract:
ObjectiveTo explore the application effects of OEP intervention and music therapy in clinical care for elderly patients with stroke. MethodsA total of 120 patients were selected, separated into the observation group and the control group according to random number table method, 60 cases in each group. The control group adopted conventional intervention, and the observation group applied OEP intervention and music therapy, all intervention for 16 weeks. To compare MFES, BBS, TUGT, FMA, Barthel index, QOL-30 scores, SAS and SDS before and after the intervention between both groups, and to compare nursing satisfaction scores between both groups after the intervention. ResultsAfter the intervention, MEFS scores, BBS scores, Barthel indexes, QOL-30 scores, FMA scores and dimensional scores of nursing satisfaction in both groups were higher than these before the intervention, and the observation group was higher than the control group (P<0.05). TUGT time, SAS and SDS scores of both groups were lower than these before the intervention, and the observation group was lower than the control group (P<0.05). ConclusionOEP intervention and music therapy could effectively raise physical motor function of elderly patients with stroke, so as to avoid falling, improve their bad moods, lift the patients’ activity of daily living, quality of life and nursing satisfaction.

相似文献/References:

[1]胡敏棣,李晓娟,边笑梅.中医体质学说在脑卒中防治中的应用[J].西部中医药,2012,25(10):99.
 HU Min-li,LI Xiao-juan,BIAN Xiao-mei.Application of TCM Constitution Theory to the Prevention of Cerebral Apoplexy[J].Western Journal of Traditional Chinese Medicine,2012,25(06):99.
[2]刘智斌,牛晓梅,王 渊,等.针刺“新膀胱俞”穴治疗脑卒中后尿潴留疗效观察[J].西部中医药,2013,26(01):100.
 LIU Zhibin,NIU Xiaomei,WANG Yuan,et al.Observation on Therapeutic Effects of Needling“Xin PangGuang Shu"[J].Western Journal of Traditional Chinese Medicine,2013,26(06):100.
[3]何君芳,冯海霞△,姚惠侠,等.甘肃省脑卒中康复治疗现状*[J].西部中医药,2012,25(12):118.
 HE Jun-fang,FENG Hai-xia,YAO Hui-xia,et al.On Rehabilitation Treatments for Cerebral Apoplexy in Gansu Province[J].Western Journal of Traditional Chinese Medicine,2012,25(06):118.
[4]陈松涛.蒙古族人群原发性高血压ABPM参数与脑卒中筛查的相关性分析[J].西部中医药,2013,26(06):35.
 CHEN Songtao.Study on ABPM Parameter of Primary Hypertension in Mongolian Nationality and Screening of Cerebral Apoplexy[J].Western Journal of Traditional Chinese Medicine,2013,26(06):35.
[5]姚惠侠,冯海霞△,何君芳,等.脑卒中患者对负性情绪及心理治疗认知状况的调查[J].西部中医药,2012,25(08):56.
 YAO Hui-xia,FENG Hai-xia,HE Jun-fang,et al.Survey on Stroke Patients′ Cognition of Negative Emotion and Psychological Treatment[J].Western Journal of Traditional Chinese Medicine,2012,25(06):56.
[6]陈松涛.蒙古族人群原发性高血压晨峰现象与脑卒中筛查的研究分析[J].西部中医药,2013,26(07):56.
 CHEN Songtao.Study between Cerebral Apoplexy Screening and Morning Surge in Patients from Mongolian Nationality with Primary Hypertension[J].Western Journal of Traditional Chinese Medicine,2013,26(06):56.
[7]李西兄.早期康复介入对急性脑卒中偏瘫患者运动功能的影响[J].西部中医药,2013,26(07):107.
 LI Xixiong.Effects of Early Rehabilitation Intervention on Motor Function of Hemiplegic Patients with Acute Cerebral Apoplexy[J].Western Journal of Traditional Chinese Medicine,2013,26(06):107.
[8]曾贤翠,王文彦,顾克繁,等.白银市气象因素与脑卒中的相关性研究[J].西部中医药,2012,25(07):55.
 ZENG Xian-cui,WANG Wen-yan,GU Ke-fan,et al.Relativity Study between Cerebral Apoplexy and Meteorological Factors of Baiyin Municipality[J].Western Journal of Traditional Chinese Medicine,2012,25(06):55.
[9]刘超,李成山,李妍怡△.中风膏对缺血性脑卒中患者血小板聚集率的影响[J].西部中医药,2013,26(12):5.
 LIU Chao,LI Chengshan,LI Yanyi.Effects of ZhongFeng Ointment on Platelet Aggregation Rate of the Patients with Ischemic Stroke[J].Western Journal of Traditional Chinese Medicine,2013,26(06):5.
[10]刘强,卢章琼,罗坚,等.小针刀治疗脑卒中致肱二头肌痉挛的研究*[J].西部中医药,2014,27(07):102.
 LIU Qiang,LU Zhangqiong,LUO Jian,et al.Study on Small Needle-knife in the Treatment for Biceps Spasm of Stroke Patients[J].Western Journal of Traditional Chinese Medicine,2014,27(06):102.

备注/Memo

备注/Memo:
郑慧丽(1983—),女,主管护师。研究方向:神经内科康复、心脏内科康复。海南省卫生计生行业科研项目(20A200490)。
更新日期/Last Update: 2022-06-24