摘要
目的探讨个体化认知功能康复在卒中后认知障碍(PSCI)康复中的可行性及实用性.方法选取我院2020年2月—2021年3月收治的60例PSCI患者为研究对象,随机分为个体化认知康复组和对照组,每组30例.对照组进行单一性认知训练,个体化认知康复组根据患者具体情况进行个体化综合任务性认知训练,两组均训练6周.于干预前后评估两组患者的认知功能[简易精神状态量表(MMSE)、蒙特利尔认知量表(MoCA)]及日常生活能力[改良Barthel指数量表(MBI)].结果干预后,两组MoCA量表中的视空间与执行功能、注意、语言、抽象、延迟回忆、定向及总分均高于干预前,且个性化认知康复组的延迟回忆、定向及MoCA总分均高于对照组,组间差异有统计学意义(P<0.05).干预后,个体化认知康复组的MMSE、MBI评分分别为(24.33±2.20)分、(67.83±9.71)分,均高于对照组,组间差异有统计学意义(P<0.05).结论个体化认知康复与常规认知康复训练均可改善PSCI患者的认知功能及日常生活能力,但个体化认知康复训练的改善效果优于常规康复训练,值得临床推广使用.
ion,delayed recall,orientation and total score of MoCA scale in both groups were higher than before intervention,and the delayed recall,orientation and total score of MoCA in the individualized cognitive rehabilitation group were higher than those in the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the MMSE and MBI scores of individualized cognitive rehabilitation group were(24.33±2.20)points and(67.83±9.71)points,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Both individualized cognitive rehabilitation and conventional cognitive rehabilitation training can improve the cognitive function and daily living ability of PSCI patients,but the improvement effect of individualized cognitive rehabilitation training is better than conventional rehabilitation training,which is worthy of clinical promotion.
作者
郑倩芸
姚悦
赵慧雯
陆菲
ZHENG Qianyun;YAO Yue;ZHAO Huiwen;LU Fei(Department of Rehabilitation Medicine,Shanghai Xuhui District Central Hospital,Shanghai,200030,China)
出处
《反射疗法与康复医学》
2021年第23期138-141,共4页
Reflexology And Rehabilitation Medicine
关键词
个体化认知康复
脑卒中
认知障碍
认知
日常生活活动能力
Individual cognitive rehabilitation
Stroke
Cognitive impairment
Cognition
Activities of daily living
