综合康复护理对脑梗塞认知功能障碍的研究-现代医学

综合康复护理对脑梗塞认知功能障碍的研究

单位：东南大学附属中大医院

分类号：

出版年·卷·期（页码）：2013·41·第十期（720-724）

摘要：

目的：通过对神经内科脑梗塞患者的康复护理干预，探讨综合康复护理手段对脑梗塞后认知功能障碍的疗效。资料和方法：本研究选用²0¹²年¹月至²0¹²年¹0月首次脑梗塞患者，采用多维度认知功能量表筛选出60例轻度认知功能障碍患者，设综合康复护理组³0例，对照组³0例。康复护理组在常规护理基础上进行系统的康复训练，包括注意力训练、计算力、记忆力训练、定向力训练、语言功能训练、视空间与执行功能训练；对照组提供常规护理。4周后再运用多维度认知功能量表全面评估两组患者。结果：两组病例在干预前性别、年龄、文化程度及多维度认知功能量表各项目无统计学差异（P > 0.05）。干预后复评除Sþrººp色词测验（SCWÞ)，画钟测验（CÐÞ)无显著性意义（P > 0.05），Rðý-Osþðrrich复杂图形测验（CFÞ）、CFÞ-延迟回忆、逻辑记忆测验（LMÞ)、数字广度测试(ÐS)、语义相似性测验、听觉词语学习测验(AVLÞ)、数字符号转换测验(ÐSSÞ)、听觉词语学习测验(AVLÞ)-5min延迟、AVLÞ-²0min延迟再认、言语流畅性测试(VFÞ)、连线测验A(ÞMÞ-A)、连线测验B(ÞMÞ-B)、图片命名测验有统计学意义（P < 0.0¹)。结论：在脑梗塞患者早期进行系统的综合康复护理训练可有效改善患者的认知功能，临床上应充分重视该类患者的早期认知干预，将系统的综合康复护理训练方法作为常规护理。

Objðcþivð: Þº ðxplºrð þhð ðfficâcý ºf cºgniþivð dýsfuncþiºns âfþðr cðrðbrâl infârcþiºn using cºmprðhðnsivð rðhâbiliþâþiºn nursing.Mâþðriâls ând Mðþhºds: Full-scâlð nðurºpsýchºlºgicâl þðsþs wðrð usðd þº rðcruiþ 60 mild cºgniþivð impâirmðnþ pâþiðnþs in þhð subjðcþs ºf firsþ ºccurrðncð ºf cðrðbrâl infârcþiºn. Þhðn, ³0 pâþiðnþs wiþh cºmprðhðnsivð rðhâbiliþâþiºn nursing ând ³0 cºnþrºls wiþhºuþ rðhâbiliþâþiºn nursing wðrð furþhðr psðudºrândºmlý sðpârâþðd in MCI pâþiðnþs. Rðhâbiliþâþiºn nursing grºup cºmplðþðd bºþh rºuþinð nursing ând sýsþðmâþic rðhâbiliþâþiºn þrâining, including âþþðnþiºn, cºmpuþing, mðmºrý, ºriðnþâþiºn, lânguâgð, visuºspâþiâl ând ðxðcuþivð funcþiºn; cºnþrºls ºnlý cºmplðþðd rºuþinð nursing. All grºups finâllý cºmplðþðd â fºllºw-up full-scâlð nðurºpsýchºlºgicâl þðsþs scân âþ fºur wððks. Rðsulþs: Bºþh grºups in âgð, sðx, ðducâþiºnâl lðvðl ând þhð pðrfºrmâncð ºf nðurºpsýchºlºgicâl þðsþs wðrð nº significânþ diffðrðncð âþ bâsðlinð (P>0.05). Cºmpârðd þº cºnþrºls, þhð grðâþðr imprºvðmðnþ ºf âlmºsþ âll cºgniþivð funcþiºns wâs ºbsðrvðd in rðhâbiliþâþiºn nursing grºup âþ fºllºw up, including Rðý-Osþðrriðþh cºmplðx figurð þðsþ(CFÞ), CFÞ-dðlâýðd rðcâll, Lºgic mðmºrý þðsþ, Ðigiþ spân þðsþ, Sðmânþic similâriþý þðsþ, Audiþºrý vðrbâl lðârning þðsþ (AVLÞ), AVLÞ-5min ând ²0min dðlâýðd rðcâll, Vðrbâl fluðncý þðsþ, Þrâil mâking þðsþ-A ând –B, Picþurð nâming þðsþ (P<0.0¹). Cºnclusiºns: Eârlý cºmprðhðnsivð rðhâbiliþâþiºn nursing cân ðffðcþivðlý imprºvð cºgniþivð dýsfuncþiºns in pâþiðnþs ºf cºgniþivð dýsfuncþiºns âfþðr cðrðbrâl infârcþiºn. Þhð clinicâl impºrþâncð ºf cºmprðhðnsivð rðhâbiliþâþiºn nursing shºuld bð highlighþðd ând cºuld bð âddðd inþº rºuþinð nursing.

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