摘要
目的分析积极情绪康复联合多感官刺激对脑卒中后认知功能障碍患者康复效果的影响。方法选取2021年12月至2023年12月我院收治的96例脑卒中后认知功能障碍患者,采用随机数字表法将其分为常规组(n=48)和联合组(n=48)。常规组给予常规护理管理,联合组在常规组干预基础上给予积极情绪康复联合多感官刺激。比较两组干预前、后的认知功能、社会功能、日常生活能力、Stroop色词测试(SCWT)、连线测试(TMT)结果及康复依从性。结果干预后,两组患者的蒙特利尔认知评估量表(MoCA)、简易智能状态检查量表(MMSE)评分明显升高,且联合组高于常规组(P<0.05)。相较于常规组,联合组患者干预后的社会功能活动问卷(FAQ)及卡片A、B、C评分明显更低,改良Barthel指数(MBI)评分明显更高,TMT-A、TMT-B耗时明显更短(P<0.05)。相较于常规组,联合组患者的康复训练依从性优良率明显更高(P<0.05)。结论积极情绪康复联合多感官刺激能够明显提高脑卒中合并认知功能障碍患者的认知功能、执行功能、社会功能及日常生活能力,且患者康复依从性高,有助于进一步改善预后。
Objective To analyze the effect of positive emotional rehabilitation combined with multi-sensory stimulation on the rehabilitation outcomes of patients with cognitive impairment after stroke.Methods A total of 96 patients with cognitive impairment after stroke admitted in our hospital from December 2021 to December 2023 were selected and divided into conventional group(n=48)and combined group(n=48)by random number table method.The conventional group was given routine nursing management,and the combined group was given positive emotional rehabilitation combined with multi-sensory stimulation on the basis of conventional group intervention.The cognitive function,social function,daily living ability,Stroop Color and Word Test(SCWT),Trail Making Test(TMT)results before and after intervention and rehabilitation compliance were compared between the two groups.Results After intervention,the Montreal Cognitive Assessment Scale(MoCA)and Mini-Mental State Examination(MMSE)scores of the two groups increased significantly,and those in the combined group were higher than the conventional group(P<0.05).Compared with the conventional group,the Functional Activites Questionnaire(FAQ)and card A,B and C scores of the combined group were significantly lower,the Modified Barthel Index(MBI)score was significantly higher,and the time of TMT-A and TMT-B were significantly shorter after intervention(P<0.05).Compared with the conventional group,the excellent and good rate of rehabilitation training compliance in the combined group was significantly higher(P<0.05).Conclusion Positive emotional rehabilitation combined with multi-sensory stimulation can significantly enhance the cognitive function,executive function,social function and daily living ability of stroke patients with cognitive impairment,with higher rehabilitation compliance of patients,which is helpful to further improve the prognosis.
作者
程蕊
CHENG Rui(General Internal Medicine Department,Gem Flower Xi'an Changqing Staff Hospital,Xi'an 710201,China)
出处
《临床医学研究与实践》
2025年第36期147-150,共4页
Clinical Research and Practice
基金
西安宝石花长庆医院2024年度院级科研项目(No.CQYYKY2024-005)。
关键词
积极情绪康复
多感官刺激
脑卒中
认知功能障碍
positive emotional rehabilitation
multi-sensory stimulation
stroke
cognitive impairment
