团体游戏干预在老年脑梗死后遗症患者中应用的效果分析

The Therapeutic Effect Analysis of Group Game Intervention in Elderly Patients with Sequelae of Cerebral Infarction

目的观察团体游戏干预在老年脑梗死后遗症患者中的应用效果。方法采用随机对照临床试验设计。参照脑梗死后遗症的诊断标准入选工60岁老年脑梗死后遗症患者87例,随机分成研究组44例和对照组43例。因病情变化转院或死亡退出11例,最终纳入研究组37例和对照组39例。两组均进行脑梗死后遗症的常规治疗、护理及康复治疗;研究组除此之外,每2周进行一次团体游戏干预治疗g结果两组患者在团体游戏干预3个月后进行简版老年抑郁量表(GDS-15).简易精神状态评价量表(MMSE)、患者住院满意度3项指标评价,组间差异无统计学意义(P>0.05);日常牛活自理能力Barthel评分及生活满意度指数(LSIA)两项指标组间比较,差异有统汁学意义(P<0.05)o干预6、9和12个月GDS・15、MMSE、Barthel评分、LSIA及患者住院满意度5项指标比较,均差异有统计学意义(P<0.05)。结论团体游戏干预在缓解老年脑梗死后遗症患者的精神状态、延缓认知能力减退、改善生活质量、丰富住院生活、提高患者住院满意度及生活满意度等方面具有效率及应用价值,值得推广。

Aim To observe the therapeutic effect of group game intervention on sequelae of senile cerebral infarction.Methods The clinical trial was randomized control which referred to the diagnostic criteria strictly.Eighty・seven patients who were 60 years or older and with cerebral infarction sequelae were included in the present project initially.All patients were divided into a study group with 44 cases and a control group with 43 cases(11 cases were excluded due to discharged or death)randomly,37 cases in the study group and 39 cases in the control group remained at last.The patients in both groups underwent routine treatment,care and rehabilitation of sequelae of cerebral infarction,while the study group was carried out the group game intervention every two weeks.Results There were no significant difference between the two groups in the short-term geriatric depression scale(GDS・15),the simple mental state assessment scale(MMSE)and the hospitalization satisfaction scores after the group game intervention for 3 months(P>0.05 for three scores).The Barthel score and the Life Satisfaction Index(LSIA)of the selfcare ability for daily living were significantly different statistically(P<0.05).There were significant difference for the five indicators(Pv0.05 for all indicators)of LSIA,patient hospitalization satisfaction,GDS-15,MMSE and Barthel scores after 6 months,9 months,and 12 months observation.Conclusion The group game intervention has great potential and value in relieving the mental state of senile sinus patients,delaying cognitive decline,improving quality of life,enriching hospitalization,and promoting the hospitalization satisfaction and life satisfaction.