正念减压疗法对脑梗死后轻度认知功能障碍患者康复效果的影响

Effect of Mindfulness-Based Stress Reduction Therapy on the Rehabilitation Effect of Patients with Mild Cognitive Impairment after Cerebral Infarction

目的:观察脑梗死后轻度认知功能障碍患者康复护理中正念减压疗法的应用效果及影响。方法:选取徐州市贾汪区人民医院康复科2020年1月至2021年12月收治的80例脑梗死后轻度认知功能障碍患者,按照随机数字表法进行分组,每组各纳入40例。对照组采用传统康复护理,观察组采用正念减压疗法,3个月后对比两组认知功能评分,包括简易智能状态评分(MMSE)、神经功能缺损评分(NIHSS),心理健康评分(汉密尔顿焦虑和抑郁HAMA、HAMD)、Bathel指数、匹兹堡睡眠质量指数(PSQI)及生存质量评分(SF-36)差异。结果:护理前两组MMSE、NIHSS、HAMA、HAMD、Bathel指数、PSQI、SF-36评分比较无明显差异(P>0.05);护理后以上各指标均优于各组护理前,且观察组各项评分均优于对照组,差异显著(P<0.001)。结论:正念减压疗法有助于促进脑梗死后轻度认知功能障碍患者认知功能康复,改善生存质量、睡眠质量与心理健康水平、提升其生活自理能力。

Objective:To observe the application effect and influence of mindfulness-based stress reduction therapy in rehabilitation nursing of patients with mild cognitive impairment after cerebral infarction.Methods:A total of 80 patients with mild cognitive impairment after cerebral infarction who were admitted to the Rehabilitation Department of Jiawang District People's Hospital of Xuzhou City from January 2020 to December 2021 were selected and divided into groups according to the random number table method,with 40 cases in each group.The control group was treated with traditional rehabilitation nursing,while the observation group was treated with mindfulness-based stress reduction therapy.After 3 months,the cognitive function scores of the two groups were compared,including the Mini-Mental State Score(MMSE),the neurological deficit score(NIHSS),and the mental health score(Hamiltonian anxiety score).and depression (HAMA、HAMD),Bathel index,Pittsburgh sleep quality index(PSQI)and quality of life score(SF-36)differences.Results:Before nursing,there were no significant differences in MMSE,NIHSS,HAMA,HAMD,Bathel index,PSQI,and SF-36 scores between the two groups(P>0.05);The scores of items were better than those of the control group,and the difference was significant(P<0.001).Conclusion:Mindfulness-based stress reduction therapy helps to promote cognitive function recovery in patients with mild cognitive impairment after cerebral infarction,improve the quality of life,sleep quality and mental health,and enhance their self-care ability.