CAJ | 학술논문

　　目的探讨作业疗法对卒中后抑郁患者抑郁情绪及日常生活活动能力(ADL)的作用。方法42例卒中后抑郁患者分为作业组和对照组，各21例。在常规治疗基础上，作业组强化ADL训练，并针对性地进行文体活动和音乐欣赏。治疗前后采用改良Bathel指数(MBI)及汉密尔顿抑郁量表(HAMD)进行效果评价。结果4周后两组MBI评分显著提高，HAMD评分显著下降(P<0.001)，且作业组改善明显优于对照组(P<0.01)。结论作业疗法不仅能提高卒中后抑郁患者的ADL，且有利于抑郁情绪的改善。
　　목적탐토작업요법대졸중후억욱환자억욱정서급일상생활활동능력(ADL)적작용。방법42례졸중후억욱환자분위작업조화대조조，각21례。재상규치료기출상，작업조강화ADL훈련，병침대성지진행문체활동화음악흔상。치료전후채용개량Bathel지수(MBI)급한밀이돈억욱량표(HAMD)진행효과평개。결과4주후량조MBI평분현저제고，HAMD평분현저하강(P<0.001)，차작업조개선명현우우대조조(P<0.01)。결론작업요법불부능제고졸중후억욱환자적ADL，차유리우억욱정서적개선。
Objective To explore the effect of occupational therapy (OT) on the depressive mood and activity of daily living (ADL) in patients with post stroke depression (PSD). Methods 42 patients with PSD were divided into OT group (n=21) and control group (n=21). Both 2 groups received routine therapy, and OT group received ADL training, selective recreation and sport and appreciation of music in ad-dition. They were evaluated by modified Bathel index (MBI) and Hamilton Self-rating Scale for Depression (HAMD) before and after treat-ment. Results The scores of MBI increased and the scores of HAMD decreased significantly after 4 weeks in both 2 groups (P<0.001), espe-cially in the OT group (P<0.01). Conclusion OT can improve not only ADL, but also the depressive mood in patients with PSD.