论文部分内容阅读
目的:研究包含传统泰式按摩、草药以及物理疗法的康复治疗方案是否能够改善脑卒中患者的日常活动能力、情绪、睡眠质量以及疼痛程度。方法:本研究的设计为前瞻性队列研究,研究周期为3个月。患者来自泰国北部一家有42张床位的康复中心,该中心主要针对脑卒中、头部创伤和脊柱病患者进行康复治疗。结果:本研究共纳入脑卒中患者62人,55%为男性。患者平均年龄59岁,其中63%为已婚,首次卒中时间平均为15个月。在基线水平,巴氏量表平均指数为50.7,情绪、疼痛及睡眠平均指数分别为2.6、3.1、3.2。在进行年龄、性别和首次卒中时间的纵向模型评估1个月后,巴氏量表指数、情绪、疼痛和睡眠指数均显著提高,分别上升了6.1、0.7、0.5、0.5分(均P<0.01);3个月后,各指数分别提高了14.2、0.9、0.5、0.6分(均P<0.01)。结论:该康复治疗方案能明显改善患者的日常生活、情绪、睡眠质量以及疼痛程度。我们还需要进一步比较接受该康复治疗方案和接受常规康复治疗方案的患者来支持这一结论。
Objective: To investigate whether rehabilitation programs that include traditional Thai massage, herbal medicine, and physical therapy can improve the daily mobility, mood, quality of sleep, and the degree of pain in stroke patients. Methods: This study was designed as a prospective cohort study with a study period of 3 months. The patient was from a 42-bed rehabilitation center in northern Thailand, which rehabilitated patients with stroke, head trauma and spinal disorders. Results: Sixty-two stroke patients and 55% men were included in this study. The average age of patients was 59 years, of whom 63% were married with an average stroke time of 15 months. At baseline, the mean Papanicum Index was 50.7 and the mean emotional, pain, and sleep indices were 2.6, 3.1, and 3.2, respectively. Postmortem index, mood, pain, and sleep index increased significantly after 1 month of longitudinal model assessment of age, gender, and first stroke time by 6.1, 0.7, 0.5, 0.5, respectively ); After 3 months, each index increased by 14.2,0.9,0.5,0.6 points (all P <0.01). Conclusion: The rehabilitation program can significantly improve the patient’s daily life, mood, quality of sleep and the degree of pain. We also need further support for this conclusion by comparing patients who have received the rehabilitation program with those who have undergone routine rehabilitation programs.