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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Effect of Very Early Mobilisation on Symptoms of Depression and Anxiety Following Acute Stroke: A Randomised Controlled Trial
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Effect of Very Early Mobilisation on Symptoms of Depression and Anxiety Following Acute Stroke: A Randomised Controlled Trial

机译：非常早期动员对急性中风后抑郁症和焦虑症状的影响：随机对照试验

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Depression and Anxiety are one of the most commonly experienced problems by stroke survivors. It affects the functional status and quality of life of stroke survivor. Early physical activity may reduce symptoms of depression and anxiety.Aim: To determine the effect of very early mobilisation coupled with standard care compared with the standard care alone on symptoms of depression and anxiety following acute stroke.Materials and Methods: Study design was parallel active controlled, randomised controlled trial from December 2013 to December 2015. The intervention group received very early mobilisation including out of bed activities such as sitting, standing upright, walking begun within 24 hours of stroke onset for 5-30 minutes (Determined by patient tolerance) at least twice a day, for seven days. All the participants received standard physiotherapy care for 45 minutes once a day. Symptoms of depression and anxiety were measured using the Hospital Anxiety and Depression (HAD) rating scale on admission, at discharge and at three months follow-up. The Mann-Whitney U-test was used to compare the HAD rating scale measures between groups and the p-value <0.05 was considered as significant.Results: A total of 105 individuals with acute stroke (62 male and 43 female) aged 30-81 years were recruited in the study. The intervention group (n=48) demonstrated a significant decrease in symptoms of anxiety and depression at discharge (p<0.05) and at three months follow-up (p<0.05) than the standard care group (n=47).Conclusion: Very early mobilisation may be potential treatment to prevent or reduce symptoms of depression and anxiety following acute stroke.
机译：抑郁和焦虑是中风幸存者最常见的问题之一。它影响了行程幸存者的功能状态和生活质量。早期的身体活动可能会减少抑郁和焦虑的症状。目的：确定非常早期动员与标准护理的效果与单独的标准护理相比，单独对急性中风后抑郁和焦虑症状的标准护理。材料和方法：研究设计是2013年12月到2015年12月的平行主动控制的随机对照试验。干预小组收到了非常早期动员，包括坐下的床活动，如坐姿，直立，行走在24小时内，在中风发作后的24小时内开始前进5-30分钟（通过患者耐受程度决定）每天至少两次，七天。所有参与者每天收到45分钟的标准物理治疗。使用医院焦虑和抑郁症（有）在入院时测定抑郁和焦虑的症状，在出院时和三个月的随访。 Mann-Whitney U-Test用于比较组之间的评级尺度测量措施，P值<0.05被认为是显着的。结果：总共105个急性中风（62名男性和43名女性）在研究中招募了30-81岁。干预组（n = 48）表明，放电焦虑症状和抑郁症状的显着降低（P <0.05），三个月后续（P <0.05）（n = 47）。结论：非常早期动员可能是预防或减少急性中风后抑郁症和焦虑症状的潜在治疗方法。

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