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Influence Of The Strengthening Occupational Therapy For Ischemic Post-Stroke Depression

Posted on:2015-11-07Degree:MasterType:Thesis
Country:ChinaCandidate:Y QinFull Text:PDF
GTID:2284330461992463Subject:Neurology
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ObjectivePost-stroke depression(PSD)can seriously affected the enthusiasm and recovery of life of patients with the disease,severe patients can lead to suicide. Therefore Post-stroke depression is more and more attended. Using prospective study to analysis the affection which the strengthing occupational therapy of increaseing the operating time and number to ischemic post-stroke Depression. MethodsAll 150 patients who complyed with a standard of acute cerebral infarction inclusion were from the Neurolggy ward of Jinan Third People’s Hospital. All patients were randomly divided into the general group and the strength group.Patients were given neural conventional drugs and fluoxetine antidepressants and kinesitherapy obcupationad therapy functional electrica, stimulation and acupuncture after they were confirmed. What’s the different between the general group and the strength group is the strengthening occupational therapy which is increaseing the operating time and number. Evaluate the 150 patientse using the U.S. National Institutes of Health Stroke Scale(NIHSS) Improved Bathel index(MBI)and the Hamilton Depression Scale(HAMD) before receiving treatment in after-two weeks treatment,after-four weeks treatment and after-eight weeks treatment. Assessed outcomes after the treatment. Applying the suitable statistical methods to draw final conclusion. ResultsBefore the treatment, the FMA and MBI scores of general group and strengthen group had no significant difference(P >0.05); 2 weeks 4 weeks and 8 weeks after treatment,FMA and MBI scores of two groups was improved;the FMA and MBI scores of the Strengthen group were higher than the same period of the routinl group, there are significant differences(P < 0.05).Before the treatment, the NIHSS and HAMD scores of general group and strengthen group had no significant difference(P > 0.05); 2 weeks 4 weeks and 8 weeks after treatment NIHSS and HAMD scores of two groups were lowered;the NIHSS and HAMD scores of the Strengthen group were lowered than the same period of the routinl group there are significant differences(P < 0.05). ConclusionsThe occupational therapy improved the activities of daily living of patients with ischemic post-stroke depressionand improved the depression emotion.The strengthening occupational therapy meanning increasing time and number can improved the upper limb function and ability of daily living. It can obviously improve the patient’s quality of life not making things worse. So strengthening occupational therapy can improve the deppession emotion of patients with ischemic post-stroke depression. SignhficenceThe occupational therapy is a kind of Important treatment way to rehailitition therapy The strengthening occupational therapy meanning increasing time and number can improve the depression emotion of patients with post-stroke depression the patient’s confidence promote the functional recovery in patients with so as to improve the quality of life of patients. This topic conclusion of important guiding significance for clinical treatment can let more patients benefit.
Keywords/Search Tags:Ischemic post-stroke depression, occupational therapy, upper limb function, activities of daily living
PDF Full Text Request
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