摘要
目的 探讨阶梯式语言康复训练在脑胶质瘤术后失语症患者中的应用效果。方法 采用便利抽样法,选取2019年5月-2021年11月在北京天坛医院神经外科行脑胶质瘤手术的100例患者为研究对象。将2019年5月-2020年5月入院的50例胶质瘤患者设为对照组,接受常规语言功能康复锻炼;2020年6月-2021年11月入院的50例脑胶质瘤患者设为观察组,术后应用阶梯式语言康复训练指导患者语言功能康复锻炼。比较2组患者干预前后语言功能评分、简易精神状态评价量表(mini-mental state examination, MMSE)评分、蒙特利尔认知评估量表(Montreal cognitive assessment, MoCA)评分、平均住院天数及住院满意度。结果 在应用阶梯式语言康复训练后,观察组患者的语言功能评分、MMSE评分、MoCA评分及住院满意度均显著高于对照组,平均住院天数显著低于对照组,差异均具有统计学意义(P<0.05)。结论 阶梯式语言康复训练有助于改善脑胶质瘤患者术后语言功能障碍、智力状态及认知功能,可在临床实践中进一步推广应用。
Objective To explore the application effect of stepped speech rehabilitation training in patients with aphasia after brain glioma surgery.Methods A total of 100 patients who underwent brain glioma surgery in the department of neurosurgery of Beijing Tiantan Hospital from May 2019 to November 2021 were selected as the study objects by convenience sampling method.Fifty patients with glioma admitted from May 2019 to May 2020 were set as the control group to receive routine speech function rehabilitation exercise;Fifty patients with brain glioma admitted to hospital from June 2020 to November 2021 were set as the observation group,and the stepwise speech rehabilitation training was applied to guide the patients'speech function rehabilitation exercise after surgery.The score of language function,the score of the mini-mental state examination(MMSE)scale,the score of the Montreal cognitive assessment(MoCA)scale,the average length of hospitalization,and the satisfaction of hospitalization were compared between 2 groups before and after the intervention.Results After the application of stepwise language rehabilitation training,the language function score,MMSE score,MoCA score,and hospitalization satisfaction of patients in the observation group were significantly higher than those of patients in the control group,and the average length of hospital stay was significantly lower than that in the control group,with statistical significance differences(P<0.05).Conclusion Stepwise language rehabilitation training can help improve postoperative language dysfunction,intellectual state,and cognitive function in patients with gliomas,and can be further promoted and applied in clinical practice.
作者
仲丽芸
陆朋玮
邓岚
樊星
陈雪
张爱芳
ZHONG Liyun;LU Pengwei;DENG Lan;FAN Xing;CHEN Xue;ZHANG Aifang(Center of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)
出处
《护士进修杂志》
2024年第19期2055-2059,共5页
Journal of Nurses Training
基金
北京市医院管理中心“培育计划”(编号:PX2021025)。
关键词
脑胶质瘤
语言功能障碍
康复
护理
brain glioma
language dysfunction
rehabilitation
nursing