热疗联合治疗性运动可改善缺血性脑卒中患者的肌肉力量和抑郁症状。
Thermotherapy Combined With Therapeutic Exercise Improves Muscle Strength and Depression in Patients With Ischemic Stroke.
作者信息
Setiyowati Yovita Dwi, Wang Shan-Tair, Chen Hsing-Mei
机构信息
Department of Nursing, Sint Carolus School of Health Sciences, Jakarta, Indonesia.
Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
出版信息
Rehabil Nurs. 2019 Sep/Oct;44(5):254-262. doi: 10.1097/rnj.0000000000000114.
PURPOSE
The study examined the effect of home-based thermotherapy combined with therapeutic exercise on muscle strength and depression in patients with ischemic stroke via a weekly evaluation over 4 weeks.
DESIGN/METHODS: A quasi-experimental, pre-/posttest research design without a control group was employed. A total of 22 patients participated. Self-reported daily logs were used to evaluate intervention adherence over the study period. The manual muscle testing and Aphasic Depression Rating Scale were administered at baseline and weekly for 4 weeks.
RESULTS
Muscle strength in both the upper and lower limbs significantly increased (p < .05), whereas the depression score significantly decreased (p < .05).
CONCLUSION
The intervention increased muscle strength and decreased depression during the first 3 months after stroke onset. The significant effects were found beginning during the third week of the intervention.
CLINICAL RELEVANCE
This intervention is inexpensive and can be easily applied by caregivers at home.
目的
本研究通过为期4周的每周评估，考察了居家热疗联合治疗性运动对缺血性中风患者肌肉力量和抑郁的影响。
设计/方法：采用无对照组的准实验性前后测研究设计。共有22名患者参与。使用自我报告的每日日志来评估研究期间的干预依从性。在基线时以及之后4周每周进行一次徒手肌力测试和失语症抑郁评定量表评估。
结果
上下肢肌肉力量均显著增加（p < .05），而抑郁评分显著降低（p < .05）。
结论
该干预措施在中风发作后的前3个月增加了肌肉力量并减轻了抑郁。在干预的第三周开始发现显著效果。
临床意义
这种干预成本低廉，护理人员可轻松在家中实施。
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