Activities of daily living training in a stroke patient based on applied behaviour analysis.

Postepy psychiatrii neurologii Pub Date : 2023-12-01 Epub Date: 2024-01-19 DOI:10.5114/ppn.2023.134447
Martyna Gwiazdowska
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Abstract

Purpose: Description of the behavioural therapy of a patient after a subarachnoid haemorrhage from a ruptured aneurysm of the anterior communicating artery with an intracerebral haemorrhage, after aneurysm embolisation and left craniotomy, and after an ischemic cerebral stroke.

Case description: The author presents behavioural therapy techniques used in patient rehabilitation in all areas requiring improvement in the daily functioning of a disabled person. The course of selected therapeutic interventions is analysed and the effects of the interventions are assessed. The presented case is an example of successful behavioural therapeutic intervention that led to changes compared to the initial functional state of the organism. Thanks to the use of behavioural techniques, independent multi- profile patient functioning was achieved. Given the limited availability of health services, the focus on the therapy on evidence-based teaching makes them intrinsic to the patient's success.

Comment: The presented phases of therapy fully reflect the effective modification of behaviour patterns in a person after a subarachnoid haemorrhage from a ruptured aneurysm in the anterior communicating artery with an intracerebral haemorrhage, after aneurysm embolisation and left craniotomy, and after an ischemic cerebral stroke. The outcome of the applied behaviour approach seems to be significant enough to encourage the further development of the therapy for stroke patients regardless of the type of neurological disorders, functional difficulties, and age.

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基于应用行为分析的中风患者日常生活活动训练。
目的:描述一名患者在前交通动脉瘤破裂蛛网膜下腔出血并伴有脑内出血、动脉瘤栓塞和左侧开颅手术后以及缺血性脑卒中后的行为治疗:作者介绍了用于患者康复的行为治疗技术,涉及需要改善残疾人日常功能的所有领域。作者分析了选定治疗干预的过程,并评估了干预的效果。所介绍的病例是一个成功的行为治疗干预案例,与最初的机体功能状态相比,它带来了变化。由于使用了行为技术,病人的功能实现了独立多元。鉴于医疗服务的有限性,将治疗重点放在循证教学上使其成为患者成功的内在因素:评论:所介绍的治疗阶段充分反映了在前交通动脉动脉瘤破裂导致蛛网膜下腔出血并伴有脑内出血、动脉瘤栓塞和左侧开颅手术后以及缺血性脑卒中后患者行为模式的有效改变。应用行为疗法的结果似乎非常显著,足以鼓励进一步发展针对中风患者的疗法,而不论其神经系统疾病的类型、功能障碍和年龄。
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