早期心理干预对缺血性脑卒中患者认知和躯体功能康复的影响

Effect of Early Mental Intervention on Cognition and Body Function Rehabilitation of Patients with Cerebral Arterial Thrombosis

目的探讨早期心理干预协助认知和躯体功能训练对缺血性脑卒中患者康复的影响。方法 60例缺血性脑卒中患者,随机分为干预组和对照组,各30例。两组均予认知功能和躯体功能康复训练,干预组再予心理干预。采用蒙特利尔认知评估量表和巴氏指数评估患者的认知功能和日常生活能力。结果两组患者治疗前MoCA和BI评分均偏低,治疗后两组患者的评分均升高,干预组较对照组疗效更理想(P<0.05)。认知水平与躯体康复疗效呈时效正相关(r=0.895,P<0.05)。结论早期心理干预缺血性脑卒中患者有助于提高其认知能力,使患者主动参与躯体功能康复训练,最终提高患者日常生活能力。

Objective To explore the effect of early mental intervention-assisted cognition and body function training on rehabilitation of patients with cerebral arterial thrombosis. Methods Sixty patients with ischemic stroke were randomly divided into intervention group and control group, 30 cases in each group. Pateints in the two groups were given cognition and body fimction rehabilitation training, mental intervention was plus in the intervention group. Montreal Cognitive Assessment and Barthel Index Assessment were used to evaluate cognitive function and daily living ability of patients. Results The scores of MoCA and BI of patients in the two groups were low before treatment, but were raised after treatment. The scores in the intervention group were more ideal than those in the control group （P 〈0.05）. There was a positive correlation of time-effect between cognitive level and physical rehabilitation （r = 0.895, P 〈0.05）. Conclusion Early mental intervention can conduce to improve the cognitive abilities of patients with cerebral arterial thrombosis, which make patients initiatively participate in body function rehabilitation training, and ultimately improve the activity of daily living of patients.