正念训练对缺血性脑卒中后认知障碍患者认知功能及日常生活能力的影响

The effect of mindfulness training on cognitive function and ability of daily living in patients with cognitive impairment after ischemic stroke

目的观察正念训练对缺血性脑卒中后认知障碍患者认知功能和日常生活能力的改善作用。方法68例缺血性脑卒中后认知障碍患者,采用随机数字表法分为观察组和对照组,每组34例。观察组采用正念训练+认知训练康复治疗,对照组采用认知训练康复治疗。比较两组患者治疗前后认知功能、日常生活能力。结果治疗后,观察组患者简明精神状态检查表(MMSE)评分(23.06±3.00)分高于对照组的(18.71±1.71)分,差异具有统计学意义(t=7.337,P=0.000<0.05);观察组患者长谷川痴呆修改量表(HDS)评分(25.44±2.33)分高于对照组的(23.53±2.11)分,差异具有统计学意义(t=3.553,P=0.001<0.05);观察组患者日常生活自理能力量表(ADL)评分(71.68±6.46)分高于对照组的(61.88±5.84)分,差异具有统计学意义(t=6.560,P=0.000<0.05)。结论正念训练能更好地提高缺血性脑卒中后认知碍患者的认知功能和日常生活自理能力。

Objective To observe the effect of mindfulness training on cognitive function and ability of daily living in patients with cognitive impairment after ischemic stroke.Methods A total of 68 patients with cognitive impairment after ischemic stroke were divided into observation group and control group according to random numerical table,with 34 cases in each group.The observation group was treated with mindfulness training and cognitive training rehabilitation,and the control group was treated with cognitive training rehabilitation.The cognitive function and ability of daily living before and after treatment were compared between the two groups.Results After treatment,the mini-mental state examination(MMSE)score of the observation group was(23.06±3.00)points,which was higher than(18.71±1.71)points of the control group,and the difference was statistically significant(t=7.337,P=0.000<0.05).Hasegawa dementia scale(HDS)score(25.44±2.33)points of the observation group was higher than(23.53±2.11)points,and the difference was statistically significant(t=3.553,P=0.001<0.05).The activities of daily living(ADL)score of the observation group(71.68±6.46)points was higher than(61.88±5.84)points of the control group,and the difference was statistically significant(t=6.560,P=0.000<0.05).Conclusion Mindfulness training can better improve the cognitive function and ability of daily living of patients with cognitive impairment after ischemic stroke.