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目的探讨睡眠行为干预对恢复期住院康复脑卒中患者康复效果的影响。方法选择2014年2月—2015年5月收治的78例存在睡眠障碍的住院康复脑卒中患者作为研究对象,随机分为对照组和观察组各39例。对照组患者采用康复治疗、常规护理及安眠药物治疗,观察组在对照组基础上配合采用睡眠行为干预治疗,两组均干预4周。记录并比较两组匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)、上肢Fugl-Meyer运动功能评定量表(Fugl-Meyer assessment scale,FMA)、Barthel指数(Barthel index,BI)得分情况。计量资料采用t检验,P<0.05为差异有统计学意义。结果入院4周末,观察组PSQI得分为(10.29±2.17)分,低于对照组的(13.11±2.36)分,差异有统计学意义(P<0.05)。入院4周末,观察组FMA、BI分别为(74.76±17.45)分、(68.91±13.35),均高于对照组的(61.08±15.57)分、(52.41±16.90),差异均有统计学意义(均P<0.05)。结论采用睡眠行为干预可有效改善患者的睡眠障碍,提高恢复期脑卒中患者的康复效果。
Objective To investigate the effect of sleep behavior intervention on rehabilitation of stroke patients during convalescent rehabilitation. Methods Seventy-eight in-hospital rehabilitation stroke patients with sleep disorders admitted from February 2014 to May 2015 were randomly divided into control group and observation group (39 cases each). Patients in the control group were treated with rehabilitation therapy, routine nursing and hypnotic medications. The observation group was treated with sleep behavior intervention on the basis of the control group, and both intervention groups were treated for 4 weeks. The Pittsburgh sleep quality index (PSQI), the Fugl-Meyer assessment scale (FMA) and the Barthel index (BI) scores of the two groups were recorded and compared. Measurement data using t test, P <0.05 for the difference was statistically significant. Results At 4 weeks after admission, PSQI score of the observation group was (10.29 ± 2.17) points lower than that of the control group (13.11 ± 2.36) points, the difference was statistically significant (P <0.05). Four weeks after admission, FMA and BI in the observation group were (74.76 ± 17.45) and (68.91 ± 13.35), respectively, which were significantly higher than those in the control group (61.08 ± 15.57 and 52.41 ± 16.90, respectively) All P <0.05). Conclusion Intervention with sleep behavior can effectively improve patients’ sleep disturbance and improve the recovery effect of stroke patients.