强化认知功能训练在脑梗死后非痴呆认知功能障碍临床护理中的应用

Application of enhanced cognitive function training in nursing of non-dementia cognitive impairment in patients with cerebral infraction

目的探讨强化认知功能训练在脑梗死后非痴呆认知功能障碍患者临床护理中的应用效果。方法选取86例脑梗死后非痴呆认知功能障碍患者（ASA分级Ⅰ~Ⅱ级）为研究对象,按照入院顺序分为2组,各43例。对照组患者给予常规护理及康复指导;在对照组基础上,观察组接受护理人员根据患者MMSE量表、Mo CA量表评分制定的强化认知功能训练。采用MMSE量表、Mo CA量表、改良Barthel指数及SF-36量表比较2组患者护理前后认知功能、日常生活活动能力及生活质量变化。结果护理前,2组认知功能及日常生活活动能力比较差异均无统计学意义（P〉0.05）;护理3个月后,观察组MMSE、Mo CA、改良Barthel指数改善程度显著优于对照组,差异均有统计学意义（P〈0.05）。护理前2组患者SF-36量表各项评分差异均无统计学意义（P〉0.05）,护理3个月后,2组患者SF-36量表各项评分均显著改善,且观察组改善程度显著优于对照组,差异均有统计学意义（P〈0.05）。结论强化认知功能训练有助于改善脑卒中患者日常生活活动能力,可提高生存质量,值得在临床推广应用。

Objective To explore the application of enhanced cognitive function training in nursing of non-dementia cognitive impairment in cerebral infarction patients. Methods A total of 86 cerebral infarction patients without dementia cognitive impairment（ ASAⅠ ~ Ⅱ） were divided into two groups,43 cases in each group. Control group was given routine nursing and rehabilitation instruction.Observation group was given enhanced cognitive function training according to MMSE scale and Mo CA scale on the basis of control group. Cognitive function before and after nursing,ability of daily activities and quality of life were compared between two groups by MMSE scale,Mo CA scale,modified Barthel index and SF-36 scale. Results Before treatment,cognitive function and ability of daily activities showed no significant differences between two groups（ P〉0. 05）. Three months after nursing,the MMSE,Mo CA,modified Barthel index in the observation group were significantly better than those in the control group（ P〈0. 05）. There was no significant difference of SF-36 scale before nursing between two groups（ P〉0. 05）. Three months after nursing,score of SF-36 scale significantly improved in both group,and which in the observation group was significantly better than control group（ P〈0. 05）. Conclusion Enhanced cognitive function training can improve ability of daily activities in stroke patients and improve their quality of life,so it is worthy of popularization and application in clinic.