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改良关注和解释疗法对脑卒中偏瘫病人康复护理效果的影响 被引量:6

Effect of modified attention and explanation therapy on rehabilitation nursing of stroke patients with hemiplegia
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摘要 目的:探讨改良关注和解释疗法对脑卒中偏瘫病人运动功能及认知水平的影响。方法:选取华北理工大学附属医院康复科脑卒中偏瘫病人120例,采用密闭信封法分为观察组、对照组各60例,对照组实施常规护理干预,观察组在常规护理基础上,接受8周的改良关注和解释疗法干预。分别在干预前、干预4周和8周,采用Fugl-Meyer运动功能评定量表(FMA)、蒙特利尔认知评估量表(MoCA)对干预效果进行测评。结果:两组病人FMA总分及各维度得分时间效应、组间效应及交互效应均有统计学意义(P<0.05);两组病人MoCA总分、执行能力、命名能力、注意力、语言能力、记忆力、定向能力得分时间效应、组间效应及交互效应均有统计学意义(P<0.05)。结论:改良关注和解释疗法能有效改善脑卒中偏瘫病人的运动功能,进而提高认知水平。 Objective:To explore the effect of modified Attention and Interpretation Therapy(AIT)on motor function and cognitive level of stroke patients with hemiplegia. Methods:A total of 120 patients with hemiplegia after stroke in the Rehabilitation Department of the Affiliated Hospital of North China University of Science and Technology were selected and divided into the observation group and the control group,with 60 cases each,by the sealed envelope method. The control group received the routine nursing intervention,and the observation group received the modified AIT for 8 weeks based on the routine nursing. The Fugl-Meyer Assessment Scale(FMA)and the Montreal Cognitive Assessment(MoCA) were used to evaluate the intervention effect before,4 weeks,and 8 weeks after the intervention. Results:The time effect,between-group effect,and interaction effect of the total score of FMA and each dimension score of the two groups of patients were statistically significant(P<0. 05). The time effect,between-group effect,and interaction effect of cognition total score,execution,naming,attention,language,and memory,orientation dimension score were all statistically significant(P<0. 05). Conclusions:Modified AIT could effectively improve the motor function of stroke patients with hemiplegia and then improve the cognitive level.
作者 陈璐 郑思琪 马晴 王钰涵 成杰 王云龙 CHEN Lu;ZHENG Siqi;MA Qing;WANG Yuhan;CHENG Jie;WANG Yunlong(North China University of Science and Technology,Hebei 063000 China)
机构地区 华北理工大学
出处 《护理研究》 北大核心 2022年第24期4388-4393,共6页 Chinese Nursing Research
基金 河北省2022年度医学科学研究课题,编号:20221544。
关键词 关注 解释疗法 脑卒中 偏瘫 运动 认知 护理 attention interpretion therapy stroke hemiplegia movement cognition nursing
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