摘要
目的探讨自我效能训练对缺血性脑卒中认知障碍患者执行功能和生存质量的影响。方法 80例认知障碍的缺血性脑卒中患者随机分为对照组(40例)和自我效能训练组(40例)。对照组给予针对性的认知干预,干预组在认知干预的同时施以效能感训练。采用一般自我效能感量表(GSES)评价患者自我效能水平,采用执行缺陷综合征的行为评价(BADS)进行执行功能评测;采用生命质量简表SF-36进行生命质量评测;采用Zung抑郁自评量表(SDS)和Zung焦虑自评量表(SAS)评测患者焦虑和抑郁情况。结果治疗前,两组在自我效能水平、BADS各项指标评分、生存质量各项指标评分、SDS和SAS评分差异均无统计学意义(P>0.05);训练后,效能训练组自我效能水平评分、BADS各项指标评分、生存质量各项指标评分、SDS和SAS评分优于对照组,差异有统计学意义(P<0.05)。结论自我效能训练可促进缺血性脑卒中认知障碍患者执行功能的恢复,提高患者生存质量。
Objective To explore the influence of self-efficacy training on executive function and quality of life in ischemic stroke patients with cognitive impairment .Methods 80 cases were randomly divide into self-efficacy training group and control group , 40 in each;control group took routine cognitive interventions therapy;self-efficacy training group with cognitive interventions ＋efficacy training .Self-efficacy levels were examined by the general self-efficacy scale （ GSES ） , executive function was detected by the Behavioral Assessment of Dysexecutive syndrome （BADs）.Quality of life was evaluated by the SF-36 scale.Anxiety and depression were evaluated by Self-rating Depression Scale （ SDS） and Self-Rating Anxiety Scale （ SAS） .Results There was no marked difference in GSES , BADs,SF-36,SDS and SAS scores before treatment; after training, they were much improved;Moreover,they were more improved in self-efficacy training group than control group .Conclusion Self-efficacy training can promote the recovery of executive function of patients with ischemic stroke ,thus to improve the quality of life .
出处
《脑与神经疾病杂志》
2014年第2期114-118,共5页
Journal of Brain and Nervous Diseases
基金
河北省科技支撑课题(09276103D-3)
关键词
缺血性脑卒中
自我效能
生存质量
执行功能
Ischemic stroke
Self-efficacy levels
Quality of life
Executive function
