早期介入认知功能训练对提高脑卒中患者生活质量的影响

Influence of early cognitive training in the development of life quality among the patients with stroke

目的探讨早期介入认知功能训练对提高脑卒中患者生活质量的影响。方法选取本院2008年1月～2013年7月收治的100例脑卒中患者为研究对象，随机分为观察组与对照组，对照组采用基础治疗与护理．观察组在对照组基础上，采用早期介入认知功能训练，比较两组的神经功能缺损情况、认知功能水平、生活质量和护理服务满意度。结果干预后1、2、3周，两组的MMSE评分均明显高于干预前，差异有统计学意义（P〈0．05）；观察组干预后1、2、3周的MMSE评分均高于对照组，差异有统计学意义（P〈0．05）。观察组的定向能力、专注度、语言能力、计算能力、推理判断能力评分均高于对照组，差异有统计学意义（P〈0．05）。观察组的躯体功能、心理功能和社会功能评分均高于对照组，差异有统计学意义（P〈0．05）。观察组的护理服务满意度高于对照组，差异有统计学意义（P〈0．05）。结论早期介入认知功能训练可以有效提高脑卒中患者的生活质量，减轻神经功能缺损情况，提高护理服务满意度。

Objective To investigate influence of early cognitive training in the development of life quality among the patients with stroke. Methods 100 cases of patients after the stroke were selected as research objects and randomly di- vided into observation group and control group.The conventional treatment and nursing were used in control group,the early cognitive training was used in observation group on the basis of control group.The nerve function defect score,cognitive function level,life quality and nursing service satisfaction rate in two groups was compared respectively. Results After intervention of 1,2,3-week,MMSE in two groups was higher than that before intervention respectively,with statisti- cal difference （P〈0.05）.After intervention of 1,2,3-week,MMSE in observation group was higher than that in control group respectively,with statistical difference（P〈0.05）.Orientation ability,concentration,language ability,computation ability,reasoning,judgment ability score in observation group was higher than that in control group respectively,with statistical differenee（P〈0.05）.The body function,psychological function and social function score in observation group was higher than that in control group respectively,with statistical difference（P〈0.05）.Nursing service satisfaction rate in observation group was higher than that in control group,with statistical difference（P〈0.05）. Conclusion Early cognitive training can effectively improve the quality of life of patients with stroke,reduce the neurological deficit situation and improve nursing service satisfaction rate.