认知行为干预对脑血管病患者早期康复效果的影响

Effect of Cognitive Behavioral Intervention on Early Rehabilitation of Patients with Acute Cerebrovascular Disease

目的探讨认知行为干预对脑血管病患者早期康复效果的影响。方法将254例脑血病患者，按投币法随机分为干预组（124例）与对照组（130例）。两组均给予常规治疗护理和康复训练，干预组同时给予认知行为干预。于患者人组第1d、干预1周末和出院前分别采用改良巴氏指数评定表、功能综合评定表、神经功能缺损评定表及生存质量测定量表简表比较两组患者的康复效果及生活质量。结果干预1周末及出院时两组改良巴氏指数评定表、功能综合评定表、生存质量测定量表简表评分均较入组第1d显著升高（P〈0．05或0．01），神经功能缺损评定表评分均较人组第1d显著降低（P〈0．01），干预组较对照组变化更显著（P〈0．05）。结论认知行为干预有助于改善患者的神经功能，提高生活质量，使其最大限度地回归家庭与社会。

Objective To evaluate the effect of cognitive behavioral intervention on early rehabilitation of patients with acute cerebrovaseular disease. Methods 254 cases of cerebral blood disease patients,accord ing to the method of coin were randomly divided into intervention group （124 cases） and control group （130 cases）. The control group was given routine nursing care. In addition to routine care, the intervention group received cognitive behavior intervention. In group 1 d, 1 weekend intervention and before discharge,the Barthel Index Scale （MBI） and functional comprehensive assessment scale （FICA）, the deter ruination of the quality of life scale （QOL-BREF） and neurological deficit evaluation table （NIHSS）were assessed for the rehabilitation effect and quality of life between the two groups. Results Intervention and 1 weekend at discharge in the MBI, FICA, QOL-BREF scores of both groups were significantly higher than the 1st day of admission（P〈0.05 or 0.01）, and NIHSS scores were significantly lower than the first day （P〈0.01）. There are more significant changes in intervention group than the control group （P〈0.05）. Conclusion Cognitive behavioral intervention is helpful to improve the patient＇s nerve function, improve the quality of life, make its maximum return to family and society.