早期康复护理对脑卒中后认知功能的影响研究

The effect of early rehabilitation nursing on cognitive function after stroke

目的探讨早期康复护理干预对脑卒中后认知功能的影响。方法选择2011年3月～2013年3月本院诊治的80例脑卒中患者,随机分为对照组(常规护理)和观察组(早期康复护理干预),每组40例,根据简明精神状态检查量表(MMSE)、韦氏记忆量表(WMS)、临床痴呆(CDR)评定标准,比较两组治疗后MMSE评分、WMS评分、CDR评分以及临床疗效。结果与对照组相比,观察组MMSE评分、WMS评分均明显升高,而CDR评分明显降低,治疗总有效率显著升高,差异有统计学意义(P<0.05)。结论早期康复护理干预能够明显改善脑卒中患者的认知功能,值得临床推广。

Objective To study effect of early rehabilitation nursing intervention on cognitive function after stoke. Methods The 80 patients with stroke in our hospital from March 2011 to March 2013 were randomized into the con- trol group （routine nursing） and the observation group （early rehabilitation nursing intervention）, 40 patients in each group. The MMSE scores, WMS scores, CDR scores and clinical efficacy in the two groups were compared by the mi- ni-mental state examination （MMSE）, Wechsler memory scales （WMS）, and clinical dementia （CDR） standard scale. Result Compared with the control group, the MMSE scores and WMS scores were significantly increased, the CDR scores were obviously decreased, the total effective rate was significantly increased, there was statistical difference （P 〈 0.05）. Conclusion For patients with stroke, the effective early rehabilitation nursing intervention can significantly im- prove the congnitive function and is worthy of clinical promotion.