现代仪器与医疗

怀旧疗法结合手功能康复机器人对基层老年脑卒中患者负性情绪的干预效果研究

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黄恩爱 ¹ , 魏栋帅 ² , 闫志杰 ³ , 乡靖楠 ³ , 束贝贝 ⁴ , 邓盼墨 ⁴ , 郁海琦 ⁵ , 贾杰 ³^,^*

现代仪器与医疗 | 临床研究 2026,32(1): 67-73

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现代仪器与医疗 |临床研究 2026 , 32 (1) : 67 -73

怀旧疗法结合手功能康复机器人对基层老年脑卒中患者负性情绪的干预效果研究

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黄恩爱¹, 魏栋帅², 闫志杰³, 乡靖楠³, 束贝贝⁴, 邓盼墨⁴, 郁海琦⁵, 贾杰³^,^*

作者信息

^1.宁海县第二医院，宁海　315600

^2.郑州市第七人民医院心脏康复科，郑州　450000

^3.复旦大学附属华山医院康复医学科，上海　200040

^4.复旦大学附属华山医院静安分院康复医学科，上海　200040

^5.杭州萧山邻家联合医院，杭州　311200

通讯作者:

贾杰，女，博士研究生，教授，研究方向：老年多功能障碍的全周期康复，社区康复，手功能康复

作者简介:

黄恩爱，女，本科，副主任护师，研究方向：老年多功能障碍的全周期康复，社区康复，康复护理

Intervention effects of nostalgia therapy combined with intelligent rehabilitation gloves on negative emotions in older stroke patients in primary care settings

En'ai Huang¹, Dongshuai Wei², Zhijie Yan³, Jingnan Xiang³, Beibei Shu⁴, Panmo Deng⁴, Haiqi Yu⁵, Jie Jia³^,^*

Affiliations

^1.Ninghai Second Hospital, Ninghai 315600, China

^2.Department of Cardiac Rehabilitation, the Seventh People's Hospital of Zhengzhou, Zhengzhou 450000, China

^3.Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China

^4.Department of Rehabilitation Medicine, Jing'an Branch of Huashan Hospital, Fudan University, Shanghai 200040, China

^5.Hangzhou Xiaoshan Linjia United Hospital, Hangzhou 311200, China

出版时间: 2026-02-10 doi: 10.11876/mimt202601010

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摘要

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目的

探讨怀旧疗法结合手功能康复机器人训练的干预方式在老年脑卒中患者负性情绪改善上的应用效果，并评估其在基层医疗机构应用的可行性和推广价值。

方法

招募60例老年脑卒中患者，随机分为试验组和对照组，每组各30例。对照组受试者通过佩戴气动手套在“双手镜像”和“主动游戏”模式下训练，两种模式各15 min/次，1次/天，5天/周，共3周；试验组则在此干预的基础上进行怀旧疗法训练，30 min/次，1次/天，5天/周，共3周。在干预前后对受试者进行量表评估：采用广泛性焦虑障碍量表（generalized anxiety disorder-7，GAD-7）、焦虑自评量表（self-rating anxiety scale，SAS）评估焦虑情况；采用老年抑郁量表（geriatric depression scale，GDS）、蒙哥马利-阿斯伯格抑郁量表（Montgomery-Asberg depression rating scale，MADRS）、9项患者健康问卷（patient health questionnaire-9 items，PHQ-9）、汉化10条目医院版卒中失语抑郁问卷（stroke aphasic depression questionnaire-hospital version，SADQ-H10）评估抑郁状态；采用改良Barthel指数（modified Barthel index，MBI）评估日常生活活动能力。

结果

干预3周后，两组的GAD-7、SAS、GDS、MADRS、PHQ-9、SADQ-H10、MBI评分较干预前均有改善（P<0.05）；试验组各量表评分较对照组改善更显著（P<0.05）；比较两组干预后的进步情况，试验组SAS、GDS、MADRS、SADQ-H10、MBI评分的改进幅度优于对照组（P<0.05）。

结论

对于存在焦虑、抑郁等负性情绪的老年脑卒中患者，进行怀旧疗法结合手功能康复机器人训练的干预可改善其焦虑、抑郁状态，提高其康复积极性，从而进一步加快康复进程。该干预措施具有较好的基层医疗机构推广价值，未来研究可进一步探索其在社区康复中的应用。

关键词

脑卒中 / 怀旧疗法 / 手功能康复机器人 / 焦虑 / 抑郁

Abstract

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Objective

To investigate the application effects of an intervention combining nostalgia therapy and intelligent rehabilitation gloves training on alleviating negative emotions in older stroke patients, and to evaluate its feasibility and promotion value in primary care institutions.

Methods

A total of 60 older stroke patients were recruited and randomly assigned to either an experimental group or a control group, with 30 cases in each group. Participants in the control group received training using a pneumatic glove under two modes: “bilateral mirror training” and “active game playing”, each for 15 minutes per session, once daily, five days per week, for a total of three weeks. The experimental group received additional nostalgia therapy training for 30 minutes per session, once daily, five days per week, also over three weeks. All participants were assessed before and after the intervention using the following scales: anxiety was evaluated with the generalized anxiety disorder-7 (GAD-7) and the self-rating anxiety scale (SAS); depressive symptoms were measured using the geriatric depression scale (GDS), the Montgomery–Asberg depression rating scale (MADRS), the patient health questionnaire-9 items (PHQ-9), and the Chinese version of the 10-item stroke aphasic depression questionnaire–hospital version (SADQ-H10); activities of daily living were assessed with the modified Barthel index (MBI).

Results

After three weeks of intervention, both groups demonstrated significant improvements in GAD-7, SAS, GDS, MADRS, PHQ-9, SADQ-H10, and MBI scores compared with baseline (P<0.05). The experimental group showed significantly greater improvements than the control group across all scales (P<0.05). Comparison of post-intervention progress revealed that the experimental group achieved superior improvements in SAS, GDS, MADRS, SADQ-H10, and MBI scores relative to the control group (P<0.05).

Conclusion

For older stroke patients presenting with negative emotions such as anxiety and depression, the intervention combining nostalgia therapy and intelligent rehabilitation gloves training can effectively alleviate their anxiety and depressive states, enhance their motivation for rehabilitation, and thereby further accelerate the recovery process. This intervention demonstrates good potential for promotion in primary healthcare institutions, and future research should further explore its application in community-based rehabilitation settings.

Key words

Stroke / Nostalgia therapy / Intelligent rehabilitation gloves / Anxiety / Depression

引用本文

黄恩爱, 魏栋帅, 闫志杰, 乡靖楠, 束贝贝, 邓盼墨, 郁海琦, 贾杰. 怀旧疗法结合手功能康复机器人对基层老年脑卒中患者负性情绪的干预效果研究. 现代仪器与医疗, 2026 , 32 (1) : 67 -73 . DOI: 10.11876/mimt202601010

En'ai Huang, Dongshuai Wei, Zhijie Yan, Jingnan Xiang, Beibei Shu, Panmo Deng, Haiqi Yu, Jie Jia. Intervention effects of nostalgia therapy combined with intelligent rehabilitation gloves on negative emotions in older stroke patients in primary care settings[J]. Modern Instruments & Medical Treatment, 2026 , 32 (1) : 67 -73 . DOI: 10.11876/mimt202601010

基金

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国家重点研发计划(2018YFC2002300; 2018YFC2002301)
宁海县社会发展类（卫生系统）科技计划项目(2023-26)
上海市静安区卫生系统重点学科建设资助项目(2021ZB02)

参考文献

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2026年第32卷第1期

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文章信息

doi: 10.11876/mimt202601010

首发时间：2026-10-23
出版时间：2026-02-10

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基金

国家重点研发计划(2018YFC2002300; 2018YFC2002301)

宁海县社会发展类（卫生系统）科技计划项目(2023-26)

上海市静安区卫生系统重点学科建设资助项目(2021ZB02)

作者信息

^1.宁海县第二医院，宁海　315600

^2.郑州市第七人民医院心脏康复科，郑州　450000

^3.复旦大学附属华山医院康复医学科，上海　200040

^4.复旦大学附属华山医院静安分院康复医学科，上海　200040

^5.杭州萧山邻家联合医院，杭州　311200

通讯作者:

贾杰，女，博士研究生，教授，研究方向：老年多功能障碍的全周期康复，社区康复，手功能康复

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2种不同金属材料的力学参数

科 Family	属数 Number of genus	种数 Number of species	占总种数比例 Percentage of total species (%)	属 Genus	种数 Number of species	占总种数比例 Percentage of total species (%)
鹅膏菌科Amanitaceae	2	11	5.26	鹅膏菌属 Amanita	10	4.78
小菇科 Mycenaceae	2	12	5.74	丝盖伞属 Inocybe	5	2.39
多孔菌科 Polyporaceae	8	14	6.70	蜡蘑属 Laccaria	5	2.39
红菇科 Russulaceae	3	23	11.00	小皮伞属 Marasmius	6	2.87
				小菇属 Mycena	11	5.26
				光柄菇属 Pluteus	5	2.39
				红菇属 Russula	17	8.13
				栓菌属 Trametes	5	2.39

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