Brain HQ视觉训练在神经梅毒认知障碍患者中的应用效果

Effects of Brain HQ visual training on cognitive impairment of patients with neurosyphilis

目的:观察Brain HQ视觉训练在神经梅毒认知障碍患者中的应用效果。方法:选取60例神经梅毒认知障碍患者为研究对象,按照随机数字表法分为研究组与对照组各30例。对照组给予常规护理,研究组在对照组基础上给予Brain HQ视觉训练,比较两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、蒙特利尔认知评估量表(MoCA)评分、简易智力状态检测量表(MMSE)评分、Barthel指数(BI)评分和护理不良事件发生率。结果:护理后,两组SAS和SDS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);护理后,两组MoCA、MMSE和BI评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);研究组护理不良事件发生率为6.67%,低于对照组的30.00%,差异有统计学意义(P<0.05)。结论:在常规护理基础上应用Brain HQ视觉训练可降低神经梅毒认知障碍患者的SAS和SDS评分和护理不良事件发生率,以及提高MMSE、MoCA和BI评分,效果优于单纯常规护理。

Objective:To observe effects of Brain HQ visual training on cognitive impairment of patients with neurosyphilis.Methods:60 patients with neurosyphilis cognitive impairment were selected as the research objects,and were divided into study group and control group according to the random number table method,30 cases in each group.The control group was given routine nursing,while the study group was given Brain HQ visual training on the basis of that of the control group.The self-rating anxiety scale(SAS)score,the self-rating depression scale(SDS)score,the Montreal cognitive assessment scale(MoCA)score,the mini-mental state examination(MMSE)score,the Barthel index(BI)score,and the incidence of nursing adverse events were compared between the two groups.Results:After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing;those of the study group were lower than those of the control group;and the differences were statistically significant(P<0.05).After the nursing,the MoCA,MMSE and BI scores of the two groups were higher than those before the nursing;those of the study group were higher than those of the control group;and the differences were statistically significant(P<0.05).Further,the incidence of adverse nursing events in the study group was 6.67%,which was lower than 30.00%in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the application of Brain HQ visual training can reduce the SAS and SDS scores and the incidence of adverse nursing events in the patients with neurosyphilis cognitive impairment,and improve the MMSE score,the MoCA score and BI score.Moreover,it is superior to simple routine nursing.