摘要
目的家庭认知训练护理对老年脑卒中患者血管性认知功能障碍(VCI)的影响。方法根据患者自愿原则,将我院收治的49例接受药物治疗、院内短期及家庭认知训练护理的患者设为研究组,21例接受常规药物治疗和(或)运动功能康复训练护理的患者设为对照组。比较两组干预前、后的智力、认知能力及日常生活活动能力。结果干预后,研究组的定向、记忆、回忆、语言、计算及总评分均显著升高,对照组的定向、记忆、语言及计算评分均显著升高,且研究组定向、记忆、回忆、计算及总评分明显高于对照组(P<0.05)。研究组的定向力、空间知觉、视知觉、思维操作、动作运用及总分均明显升高,对照组的定向力、空间知觉、视知觉、思维操作及总分均明显升高,且研究组的定向力、视知觉、思维操作、动作运用及总分明显高于对照组(P<0.05)。干预后,两组的Barthel指数评分均明显升高,且研究组高于对照组(P<0.05)。结论家庭认知训练护理应用于老年脑卒中后VCI患者护理中的效果显著,其不仅能实现对患者的长期护理,而且有助于改善患者智力、认知能力及日常生活能力,促进患者康复。
Objective To investigate the effect of family cognitive training nursing on vascular cognitive impairment(VCI)in elderly stroke patients.Methods According to the principle of patients'voluntariness,49 patients receiving drug treatment,short-term in-hospital and family cognitive training nursing admitted in our hospital were set as study group,and another 21 patients receiving routine drug treatment and/or motor rehabilitation training nursing were set as control group.The intelligence,cognitive ability and activities of daily life before and after intervention were compared between the two groups.Results After intervention,the scores of orientation,memory,recall,language and calculation and total score in the study group significantly increased,the scores of orientation,memory,language and calculation in the control group significantly increased,and the scores of orientation,memory,recall and calculation and total score in the study group were significantly higher than those in the control group(P<0.05).The scores of orientation,spatial perception,visual perception,thinking operation and motor use and total score of the study group significantly increased,the scores of orientation,spatial perception,visual perception and thinking operation and total score of the control group significantly increased,and the scores of orientation,spatial perception,thinking operation and motor use and total score of the study group were significantly higher than those in the control group(P<0.05).After intervention,the Barthel index scores of both groups increased significantly,and that in the study group was higher than the control group(P<0.05).Conclusion The application of family cognitive training nursing in the nursing of VCI in elderly stroke patients has a significant effect,which can not only achieve long-term nursing for patients,but also help to improve the intelligence,cognitive ability and activities of daily life of patients and promote patients'rehabilitation.
作者
刘怡晓
LIU Yi-xiao(the Hospital of Gaoling District, Xi'an 710200, China)
出处
《临床医学研究与实践》
2019年第3期167-169,共3页
Clinical Research and Practice
