脑卒中后轻度认知障碍患者的康复护理干预效果评价

Effect evaluation of rehabilitation nursing on memory improvement of patients with mild cognitive impairment after stroke

目的分析康复护理对脑卒中后轻度认知障碍患者记忆力的改善效果。方法纳入平顶山市第一人民医院2019-01—2020-01治疗的脑卒中后轻度认知障碍患者70例,对照组患者(n=35)给予常规护理干预,观察组(n=35)在此基础上增加认知功能康复护理。比较2组患者住院时间、治疗前后认知功能(MMSE评分)、记忆力(RBMT-II评分)、运动功能(FMA运动功能评分)、日常生活活动能力评定(BI指数)、总有效率。结果观察组患者住院时间短于对照组[(9.19±2.12)d vs (12.25±3.34)d,P<0.05],认知功能MMSE评分(25.56±3.25)、记忆力RBMT-II评分(21.56±1.21)、FMA运动功能评分(75.56±3.21)、BI指数(89.19±3.12)均高于对照组[分别为(22.51±2.31)、(18.56±1.01)、(61.56±3.01)、(73.45±3.21)],总有效率(94.29%)高于对照组(74.29%),差异均有统计学意义(P<0.05)。结论常规用药联合认知功能康复护理对脑卒中后轻度认知障碍的治疗效果确切,有利于改善患者认知功能和肢体功能,并提高患者日常生活活动能力。

Objective:To analyze the effect of rehabilitation nursing on memory improvement of patients with mild cognitive impairment after stroke.Methods:A total of 70 patients with mild cognitive impairment after stroke in our hospital from January 2019 to January 2020 were divided into two groups with35 cases in each group. The patients in the control group were given routine nursing intervention, and the patients in the observation group were given cognitive rehabilitation nursing on the basis of this. The length of stay, MMSE score of cognitive function, RBMT-II score of memory, FMA score of motor function, BI index of activity of daily living and total effective rate were compared between the two groups before and after treatment.Results:The hospital stay of the observation group((9.19±2.12)d) was shorter than that of the control group((12.25 ± 3.34)d). After treatment, the scores of MMSE of cognitive function(25.56 ±3.25), RBMT-II of memory(21.56±1.21), FMA of motor function(75.56±3.21) and BI index of activities of daily living(89.19±3.12) were higher than those of the control group(22.51±2.31,18.56±1.01,61.56±3.01,73.45 ± 3.21, respectively), and the total effective rate was higher than that of the control group(94.29% vs 74.29%,P < 0.05).Conclusion:Conventional medication combined with rehabilitation nursing of cognitive function is effective in treating mild cognitive impairment after stroke, which is beneficial to improve patients’ cognitive function and limb function, and improve patients’ activities of daily living, and is worth popularizing and applying.