认知护理干预对脑梗死轻度认知障碍患者认知功能的影响
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摘要
目的对认知护理干预对脑梗死轻度认知障碍患者认知功能的影响进行初步研究。方法选取2017年1月～2018年10月我院收治的脑梗死轻度认知障碍患者90例,随机分两组,观察组45例和对照组45例。对照组采取常规治疗和护理,观察组在对照组的基础上给予认知护理干预。通过比较干预后两组患者的MMSE与ADL评分,比较两组的认知功能及精神状态的区别。结果观察组与对照组比较,干预前两组MMSE评分比较,差异无统计学意义(P> 0.05),干预后观察组MMSE评分明显高于对照组,差异有统计学意义(P <0.05);观察组与对照组比较,干预前两组ADL评分比较,差异无统计学意义(P> 0.05),干预后观察组ADL评分明显低于对照组,差异有统计学意义(P <0.05)。结论认知护理干预对脑梗死轻度认知障碍患者认知功能及精神状态有明显的改善,对于缓解脑梗死患者的认知障碍具有重要的临床参考价值,值得在医院推广应用。
Objective To preliminarily study the effect of cognitive nursing intervention on cognitive function of patients with mild cognitive impairment after cerebral infarction. Methods 90 patients with mild cognitive impairment due to cerebral infarction admitted to our hospital from January 2017 to October 2018 were selected and randomly divided into two groups, observation group(45 cases) and control group(45 cases).The control group received routine treatment and nursing, while the observation group received cognitive nursing intervention on the basis of the control group.By comparing the scores of MMSE and ADL after intervention,the differences of cognitive function and mental state between the two groups were compared. Results Compared with the control group,there was no significant difference in MMSE score between the two groups before intervention(P > 0.05).After intervention,the MMSE score of the observation group was significantly higher than the control group,the difference was statistically significant(P < 0.05).There was no significant difference in ADL score between the two groups before intervention(P > 0.05).After intervention,the ADL score of the observation group was significantly lower than the control group,the difference was statistically significant(P < 0.05). Conclusion Cognitive nursing intervention can significantly improve cognitive function and mental state of patients with mild cognitive impairment after cerebral infarction. It has important clinical reference value for alleviating cognitive impairment of patients with cerebral infarction,and is worthy of popularization and application in hospitals.
Objective To preliminarily study the effect of cognitive nursing intervention on cognitive function of patients with mild cognitive impairment after cerebral infarction. Methods 90 patients with mild cognitive impairment due to cerebral infarction admitted to our hospital from January 2017 to October 2018 were selected and randomly divided into two groups, observation group(45 cases) and control group(45 cases).The control group received routine treatment and nursing, while the observation group received cognitive nursing intervention on the basis of the control group.By comparing the scores of MMSE and ADL after intervention,the differences of cognitive function and mental state between the two groups were compared. Results Compared with the control group,there was no significant difference in MMSE score between the two groups before intervention(P > 0.05).After intervention,the MMSE score of the observation group was significantly higher than the control group,the difference was statistically significant(P < 0.05).There was no significant difference in ADL score between the two groups before intervention(P > 0.05).After intervention,the ADL score of the observation group was significantly lower than the control group,the difference was statistically significant(P < 0.05). Conclusion Cognitive nursing intervention can significantly improve cognitive function and mental state of patients with mild cognitive impairment after cerebral infarction. It has important clinical reference value for alleviating cognitive impairment of patients with cerebral infarction,and is worthy of popularization and application in hospitals.
引文
[1]吴宏,陈亚辉,许光.急性脑梗死的梗死部位与患者认知障碍的相关性研究[J].中国处方药,2018,16(7):1-2.
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[5]吴妙珠,邱悦,区慧敏,等.综合康复护理干预在脑梗死轻度认知功能障碍中的应用[J].内蒙古中医药,2017,36(11):126.
[6]夏荷咏.老年轻度认知功能障碍患者实施临床护理干预对其生活质量的影响分析[J].实用临床护理学电子杂志,2017,2(21):48-49.
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[8]董静,刘云东,齐艳红,等.成套注意力训练在脑梗死后血管性认知障碍中的应用价值[J].中国煤炭工业医学杂志,2016,19(9):1351-1354.
[9]申伟,金香兰,陈宝鑫,等.中医药治疗脑梗死后认知障碍的研究进展[J].北京中医药,2016,35(7):638-640.
[10]江华,林烁,周密,等.综合护理干预措施对脑梗死后血管性认知障碍影响的观察[J].福建医药杂志,2015,37(3):157-158.
[11]李涛,张昕洋,姬少珍,等.基于中医症状的脑梗死后轻度认知障碍中医综合干预临床疗效评价[J].北京中医药,2015,34(2):103-107.
[12]王霆.脑血管病危险因素对脑梗死后继发认知障碍的影响[J].吉林医学,2015,36(4):649-650.
[13]王宁群,黄小波,魏翠柏,等.脑康Ⅱ号对脑梗死后血管性认知障碍患者的干预研究[J].中医药学报,2014,42(6):71-74.
[14]雷艳,许琼瑜,叶良玉,等.脑梗死轻度认知障碍患者认知干预的效果观察[J].护理学报,2013,20(14):35-36.
[15]顾克金,李相元,杨燕,等.老年腔隙性脑梗死患者轻度血管性认知功能障碍的分析[J].中华老年心脑血管病杂志,2012,14(3):255-257.
[2]黄巧红,梁汉英,卢苇.多维度深度护理干预对脑卒中后认知障碍患者的影响观察[J].齐齐哈尔医学院学报,2018,39(9):1095-1097.
[3]曙光,牛小丽.急性脑梗死患者认知障碍的相关因素分析及预防对策[J].陕西医学杂志,2017,46(12):1674-1675.
[4]李彩霞,李金女,陈锦秀.连续护理干预对老年轻度认知障碍患者认知功能和生活质量的影响[J].世界最新医学信息文摘,2017,17(92):222,224.
[5]吴妙珠,邱悦,区慧敏,等.综合康复护理干预在脑梗死轻度认知功能障碍中的应用[J].内蒙古中医药,2017,36(11):126.
[6]夏荷咏.老年轻度认知功能障碍患者实施临床护理干预对其生活质量的影响分析[J].实用临床护理学电子杂志,2017,2(21):48-49.
[7]苗凤茹.探讨运动康复护理对脑梗死患者认知障碍干预性研究[J].山西医药杂志,2017,46(1):107-108.
[8]董静,刘云东,齐艳红,等.成套注意力训练在脑梗死后血管性认知障碍中的应用价值[J].中国煤炭工业医学杂志,2016,19(9):1351-1354.
[9]申伟,金香兰,陈宝鑫,等.中医药治疗脑梗死后认知障碍的研究进展[J].北京中医药,2016,35(7):638-640.
[10]江华,林烁,周密,等.综合护理干预措施对脑梗死后血管性认知障碍影响的观察[J].福建医药杂志,2015,37(3):157-158.
[11]李涛,张昕洋,姬少珍,等.基于中医症状的脑梗死后轻度认知障碍中医综合干预临床疗效评价[J].北京中医药,2015,34(2):103-107.
[12]王霆.脑血管病危险因素对脑梗死后继发认知障碍的影响[J].吉林医学,2015,36(4):649-650.
[13]王宁群,黄小波,魏翠柏,等.脑康Ⅱ号对脑梗死后血管性认知障碍患者的干预研究[J].中医药学报,2014,42(6):71-74.
[14]雷艳,许琼瑜,叶良玉,等.脑梗死轻度认知障碍患者认知干预的效果观察[J].护理学报,2013,20(14):35-36.
[15]顾克金,李相元,杨燕,等.老年腔隙性脑梗死患者轻度血管性认知功能障碍的分析[J].中华老年心脑血管病杂志,2012,14(3):255-257.