早期社区康复对高龄脑卒中后患者认知障碍和睡眠障碍的干预效果分析

Analysis on the Intervention Effect of Early Community Rehabilitation in Cognitive Disorders and Sleep Disorders in Elderly Patients after Stroke

目的探讨早期社区康复对高龄脑卒中后患者认知障碍和睡眠障碍的干预效果。方法选取我院2014年5月至2016年9月收治的60例脑卒中后高龄患者,随机分为干预组和对照组各30例。研究组采用早期社区康复干预,对照组进行常规随访。比较两组患者干预前后的MMSE评分、Barthel评分、SFMA评分和睡眠质量。结果干预前,两组患者的MMSE、Barthel及SFMA评分比较差异均无统计学意义(P>0.05);干预后,干预组的MMSE、Barthel、SFMA评分均明显高于对照组,差异有统计学意义(P<0.05)。干预组的睡眠质量优良率为93.33%,显著高于对照组的70.00%,差异有统计学意义(P<0.05)。结论早期社区康复干预可显著提高高龄脑卒中后患者的认知功能和睡眠质量。

Objective To explore the intervention effect of early community rehabilitation in cognitive disorders and sleep disorders in elderly patients after stroke. Methods 60 cases of elderly patients after stroke admitted to our hospital from May 2014 to September 2016 were selected and randomly divided into intervention group and control group, with 30 cases in each group. The intervention group received early community rehabilitation intervention, while the control group was routinely followed. The MMSE score, Barthel score and SFMA score before and after intervention and sleep quality were compared between two groups. Results Before intervention, no statistical difference was found in the MMSE score, Barthel score and SFMA score between two groups （P 〉0.05）. After intervention, the MMSE score, Barthel score and SFMA score of intervention group were significantly higher than those of control group, with statistical differences （P〈0.05）. The excellent and good rate of sleep quality of intervention group was 93.33%, significantly higher than 70.00% of control group, with statistical difference （P 〈0.05）. Conclusions Early community rehabilitation intervention can significantly improve the cognitive function and sleep quality of elderly patients after stroke.