CAJ | 학술논문

目的：探讨超早期活动对急性脑卒中患者康复及卒中后抑郁的影响。方法选择南京市某综合性医院神经内科入住急性脑卒中患者，均是急性颈内动脉系统脑梗死者。按入院时间顺序进行排序，奇数为观察组（n=48），偶数为对照组（n=47）。对照组给予常规护理和康复训练，观察组在对照组基础上给予超早期活动。观察比较2组患者入院时、卒中后第14天、卒中后3个月末的日常生活活动能力、自我效能感及抑郁评分。结果观察组卒中后第14天、3个月末日常生活活动能力、自我效能得分高于对照组（P＜0.05），抑郁得分低于对照组（P＜0.05）。结论超早期活动可促进急性脑卒中患者日常生活活动能力恢复，提高自我效能，降低其卒中后抑郁程度。
목적：탐토초조기활동대급성뇌졸중환자강복급졸중후억욱적영향。방법선택남경시모종합성의원신경내과입주급성뇌졸중환자，균시급성경내동맥계통뇌경사자。안입원시간순서진행배서，기수위관찰조（n=48），우수위대조조（n=47）。대조조급여상규호리화강복훈련，관찰조재대조조기출상급여초조기활동。관찰비교2조환자입원시、졸중후제14천、졸중후3개월말적일상생활활동능력、자아효능감급억욱평분。결과관찰조졸중후제14천、3개월말일상생활활동능력、자아효능득분고우대조조（P＜0.05），억욱득분저우대조조（P＜0.05）。결론초조기활동가촉진급성뇌졸중환자일상생활활동능력회복，제고자아효능，강저기졸중후억욱정도。
Objective To observe the effect of super-early activities after acute stroke on recovery and the incidence of post-stroke depression. Methods Acute ischemic stroke patients admitted in neurology department were randomly divided into super-early activities group (n=48)and routine activities group (n=47). The activities of daily living, self-efficacy, the level of depression and post-stroke depression 14 days and 3 months after stroke onset were compared. Results The Barthel Index, self-efficacy level of super-early activities group 14 days and 3 months after stroke onset were higher than those of routine activitites group (P<0.05) but the scores of depression and the incidence of post-stroke depression were lower ( P<0.05). Conclusion Super-early activities might be helpful to improve the activities of daily living, enhance the level of self-efficacy and decrease the incidence of pose-stroke depression thus improve the quality of life of patients after acute stoke.