言语听觉反馈护理对老年缺血性脑卒中后认知功能障碍的影响

Effect of Speech and Hearing Feedback Nursing on Post-stroke Cognitive Impairment

目的分析言语听觉反馈护理对缺血性脑卒中(CIS)老年患者卒中后认知功能障碍(PSCI)的效果。方法选取2020年8月—2022年7月鄄城县人民医院收治的PSCI老年患者82例,按照随机数表法分为对照组与研究组,各41例。对照组采取常规康复护理,研究组在常规康复护理的基础上应用言语听觉反馈护理。对两组患者的蒙特利尔认知评估量表(MoCA)评分、简易智力精神状态检查量表(MMSE)评分、神经损伤标志物[基质金属蛋白酶-9(MMP-9)、神经元特异性烯醇化酶(NSE)]水平、改良Barthel指数量表(MBI)评分以及护理满意度进行比较。结果干预10周后,研究组患者MoCA与MMSE评分高于对照组,差异有统计学意义(P<0.05)。干预10周后,研究组患者MMP-9、NSE指标水平低于对照组,差异有统计学意义(P<0.05)。干预10周后,研究组患者MBI评分高于对照组,差异有统计学意义(P<0.05)。研究组护理满意率高于对照组,差异有统计学意义(P<0.05)。结论言语听觉反馈护理可以有效提高PSCI老年患者的认知功能,改善神经损伤,提高日常生活活动能力与护理满意度,适于临床应用。

Objective To analyze the effect of speech and hearing feedback nursing on post-stroke cognitive impairment(PSCI).Methods A total of 82 elderly patients with PSCI admitted to Juancheng County People's Hospital from August 2020 to July 22 were selected as the study subjects,and were divided into control group and study group according to the random number table,with 41 cases in each group.The control group was given routine rehabilitation nursing,and the research group was given verbal and auditory feedback nursing on the basis of the control group.The scores of the Montreal Cognitive Assessment Scale(MoCA),the Simple Mental State Examination(MMSE),the markers of nerve injury[matrix metalloproteinase-9(MMP-9),neuron-specific enolase(NSE)],the modified Barthel Index Scale(MBI)and nursing satisfaction were compared between the two groups.Results After 10 weeks of intervention,the scores of MoCA and MMSE in the study group were higher than those in the control group(P<0.05).After 10 weeks of intervention,the indexes of MMP-9 and NSE in the study group were lower than those in the control group(P<0.05).After 10 weeks of intervention,the score of MBI scale in the study group was higher than that in the control group(P<0.05).The total satisfaction rate of nursing service in the study group was higher than that in the control group(P<0.05).Conclusion Speech and hearing feedback nursing can effectively improve the cognitive function of elderly patients with PSCI,inhibit nerve injury,improve activities of daily living and nursing satisfaction,and is suitable for clinical promotion.