临床路径下综合康复护理在改善血管性痴呆患者神经运动及认知功能中的效果

Effect of Comprehensive Rehabilitation Nursing in Improving Neuromotor and Cognitive Function of Vascular Dementia Patients under Clinical Pathway

目的:探究临床路径下综合康复护理干预在血管性痴呆患者中的应用价值。方法:按照随机数字表法,将无锡市精神卫生中心老年精神康复科在2019年11月-2021年10月接收的78例血管性痴呆患者分为对照组和研究组,各39例,对照组实施常规康复护理干预对策,研究组实施临床路径下综合康复护理干预对策,于入院1 d、干预14 d后,对两组神经、认知、运动功能变化情况进行观察分析。结果:入院1 d,两组美国国立卫生研究院卒中量表(NIHSS)、蒙特利尔认知评估量表(MoCA)、动功能综合评定量表(Fugl-Meyer)得分情况对比差异均无统计学意义(P>0.05);干预14 d后,研究组NIHSS、MoCA得分均优于对照组(P<0.05);研究组患者上肢、下肢功能水平得分均高于对照组(P<0.05)。结论:对血管性痴呆患者采取临床路径下综合康复护理干预对策,有助于增强患者神经功能水平,改善机体认知功能,提升肢体运动水平。

Objective:To explore the application value of comprehensive rehabilitation nursing intervention in vascular dementia patients under the clinical pathway.Method:According to the random number table method,78 patients with vascular dementia admitted to the Geriatric Psychiatric Rehabilitation Department of Wuxi Mental Health Center from November 2019 to October 2021 were divided into control group and research group,39 cases in each group,the control group implemented routine rehabilitation nursing intervention countermeasures,the research group implemented comprehensive rehabilitation nursing intervention strategies under the clinical pathway,1 day after admission and 14 days after intervention,the changes of neurological,cognitive and motor functions in the two groups were observed and analyzed.Result:One day after admission,there were no significant differences in the scores of national institutes of health stroke scale(NIHSS),Montreal cognitive assessment scale(MoCA)and Fugl-Meyer between the two groups(P>0.05);after 14 days of intervention,the scores of NIHSS and MoCA of the research group were better than those of the control group(P<0.05);the scores of upper limb and lower limb function in the research group were higher than those in the control group(P<0.05).Conclusion:Taking comprehensive rehabilitation nursing intervention countermeasures under clinical path for vascular dementia patients is helpful to enhance the level of neurological function of patients,improve the body cognitive function,and enhance the level of physical movement.