脑卒中后便秘患者认知功能护理干预的临床效果

Clinical effect of cognitive nursing intervention in stroke patients with constipation

目的:探讨认知功能护理干预对脑卒中后便秘患者的临床效果.方法:按照随机数字表法将96例脑卒中后便秘患者均分为观察组和对照组,对照组患者给予系统化行为干预,观察组患者在此基础上给予个性化认知功能训练指导,比较两组患者干预前及干预第1疗程和第2疗程便秘症状、认知功能及日常生活活动能力变化情况.结果:两组患者干预后第1疗程和第2疗程便秘症状评分均显著低于干预前(6.45±3.06 vs11.10±1.83)、(2.91±2.33 vs 11.10±1.83),(7.02±2.75 vs 11.09±1.78)、(4.01±2.13vs 11.09±1.78),干预后第1疗程和第2疗程MMSE和BI评分均显著高于干预前,[(27.05±2.97 vs 25.91±3.22)、(28.36±2.40 vs 25.91±3.22)、(26.75±3.66 vs 25.92±3.18)、(27.55±3.08 vs 25.92±3.18)],[(75.66±17.62vs 44.41±23.35)、(89.69±13.28 vs 44.41±23.35)、(74.19±20.06 vs 45.22±28.01)、(79.98±14.29 vs 45.22±28.01)],差异具有统计学意义(P<0.05或P<0.01);观察组干预后第2疗程便秘症状评分显著低于对照组(2.91±2.33 vs 4.01±2.13),简易智能精神状态检查量表和Barthel生活指数评分显著高于对照组(28.36±2.40 vs 27.55±3.00),(89.69±13.28 vs79.98±14.29),差异具有统计学意义(P<0.05).结论:行为干预和认知功能训练指导能够显著提高脑卒中后便秘患者认知功能和日常生活能力,改善患者便秘症状,具有一定的临床应用和推广价值.

AIM： To explore the clinical effect of cognitive nursing intervention in stroke patients with con- stipation. METHODS： Ninety-six patients with acute left ventricular failure were randomly divided into either an experiment group or a control group. The control group received systematic behavior intervention, while the experiment group was additionally given individual cognitive func- tion training on the basis of systematic behavior intervention. The changes in constipation symp- toms, cognitive function and daily life activities in two courses of intervention were compared between the two groups. RE SU LTS： The scores of constipation symptoms in course 1 and course 2 in the two groups weresignificantly lower than those before interven- tion （6.45 ± 3.06 vs 11.10 ± 1.83, 2.91 ± 2.33 vs 11.10 ± 1.83, 7.02 ± 2.75 vs 11.09 ± 1.78, 4.01 ± 2.13 vs 11.09 ± 1.78; P 〈 0.05 or P 〈 0.01）. The scores of MMSE and BI in course 1 and course 2 in the two groups were significantly higher than those before intervention （27.05 ± 2.97 vs 25.91 ± 3.22, 28.36 ± 2.40 vs 25.91 ± 3.22, 26.75 ± 3.66 vs 25.92 ± 3.18, 27.55 ± 3.08 vs 25.92 ± 3.18; 75.66 ± 17.62 vs 44.41 ± 23.35, 89.69 ± 13.28 vs 44.41 ± 23.35, 74.19 ± 20.06 vs 45.22 ± 28.01, 79.98 ± 14.29 vs 45.22 ± 28.01; P 〈 0.05 or P 〈 0.01）. The score of consti- pation symptoms in course 2 in the experiment group was significantly lower than that in the control group （2.91 ± 2.33 vs 4.01 ± 2.13, P 〈 0.05）. The scores of MMSE and BI in the experiment group were significantly higher than those in the control group （28.36 ± 2.40 vs 27.55 ± 3.00, 89.69 ± 13.28 vs 79.98 ± 14.29, P 〈 0.05）. CONCLUSION： Cognitive nursing intervention can improve the cognitive function, constipation symptoms and daily activities in stroke patients with constipation.