摘要
目的:探讨人文关怀联合场景式认知训练模式对脑卒中后认知障碍(PSCI)患者认知功能、心理状态及生活质量的影响。方法:选取2022年1月-2024年5月南京市高淳人民医院收治的82例PSCI患者作为研究对象,按照信封随机分组法将其分为对照组和观察组,其中对照组(n=41,采用常规护理干预),观察组(n=41,采用人文关怀联合场景式认知训练模式干预),分别于干预前、后采用蒙特利尔认知评估量表(MoCA)、简易智能状态检查量表(MMSE)、医院焦虑抑郁量表(HADS)、脑卒中生存质量量表(SS-QOL)评估两组认知功能、心理状态及生活质量。结果:干预后,两组MoCA评分、MMSE评分、HADS-A评分、HADS-D评分均降低。SS-QOL量表精力、活动、自理能力、社会角色评分均升高。干预后,观察组MoCA评分、MMSE评分、HADS-A评分、HADS-D评分均低于对照组,差异有统计学意义(P<0.05);SS-QOL量表评分高于对照组,差异有统计学意义(P<0.05)。结论:人文关怀联合场景式认知训练模式能提高PSCI患者认知功能,改善不良心理状态及生活质量。
Objective:To explore the effects of humanistic care combined with situational cognitive training on cognitive function,psychological status and quality of life in patients with post-stroke cognitive impairment(PSCI).Method:A total of 82 patients with PSCI treated in Nanjing Gaochun People's Hospital from January 2022 to May 2024 were selected as the study objects,and were divided into control group and observation group according to envelope randomization method,including control group(n=41,with routine nursing intervention)and observation group(n=41,with humanistic care combined with situational cognitive training mode intervention).The cognitive function,mental state and quality of life of the two groups were assessed by the Montreal Cognitive Assessment Scale(MoCA),the Mini-Mental State Examination(MMSE),the Hospital Anxiety and Depression Scale(HADS),and the Stroke Quality of Life Scale(SS-QOL)before and after the intervention.Result:After intervention,MoCA score,MMSE score,HDS-A score and HDS-D score were decreased in both groups.SS-QOL scale of energy,activity,self-care ability,social role scores increased.After intervention,MoCA score,MMSE score,HDS-A score and HDS-D score in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).The score of SS-QOL was higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion:Humanistic care combined with scene cognitive training mode can improve the cognitive function of PSCI patients,improve the poor mental state and quality of life.
作者
傅婷
魏秀芳
FU Ting;WEI Xiufang(Nanjing Gaochun People's Hospital,Nanjing 211300,China)
出处
《中外医学研究》
2025年第9期85-88,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
脑卒中后认知障碍
人文关怀
场景式认知训练
认知功能
心理状态
生活质量
Cognitive impairment after stroke
Humanistic care
Situational cognitive training
Cognitive function
Mental state
Quality of life
