在社区居住的中风幸存者中,抑郁和坚持上肢运动之间的关联:一个横截面研究
Alexander Gnanaprakasam1, John M Solomon1,2, Ajit Kumar Roy3
1Department of Physiotherapy, Manipal College of Health Professions Manipal Academy of Higher Education Manipal India.
Health science reports
|October 22, 2024
概括
脑卒中后抑郁症 (PSD) 在中风幸存者中显著降低了炼坚持,影响上肢恢复. 将心理健康支持纳入康复是改善坚持和结果的关键.
科学领域:
- 神经康复疗法 神经康复疗法
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 在中风后的上肢运动恢复通常是不完整和缓慢的.
- 积极参与运动康复和一致的运动坚持是改善恢复的关键.
- 脑卒中后抑郁症 (PSD) 可以阻碍患者参与康复炼.
研究的目的:
- 在社区居住的中风幸存者中调查抑郁症和运动坚持之间的联系.
- 为了确定抑郁症严重程度对遵守家庭练习的影响.
- 探索上肢损伤与抑郁症和炼坚持之间的关系.
主要方法:
- 一项涉及215名中风幸存者进行运动康复的横截面研究.
- 使用患者健康问卷-9 (PHQ-9) 评估抑郁症症状.
- 通过对家庭练习的固执性特异性测量 (SS-MAHE) 和使用Fugl-Meyer评估-上肢 (FMA-UE) 的上肢功能测量炼坚持.
- 统计分析包括千平方和物流回归.
主要成果:
- 在抑郁症症状 (PHQ-9) 和炼坚持 (SS-MAHE) 之间发现了显著的关联.
- 中度抑郁症与较低的炼坚持率有关 (OR:0.69).
- 严重的上肢损伤 (FMA-UE) 与较低的炼坚持和较小抑郁症的风险增加相关.
结论:
- 脑卒中后抑郁症显著阻碍了中风幸存者的炼坚持.
- 中度抑郁症特别与降低的坚持率有关.
- 将心理健康支持纳入中风康复计划可以提高炼坚持性和改善上肢运动恢复.
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