CAJ | 학술논문

目的观察音乐疗法配合认知训练对脑卒中早期患者认知功能的影响.方法将40例脑卒中早期患者按入院时间先后随机分为观察组与对照组,每组20例,观察组采用音乐疗法配合认知训练,对照组进行认知训练.应用洛文斯顿作业疗法认知评定成套测验(LOTCA)中文第二版评定认知功能,用改良Barthel指数(MBI)评定日常生活活动能力.治疗前及治疗6周后对2组患者进行评定.结果治疗后,2组的LOTCA总分、MBI评分均较治疗前增加,差异均有统计学意义(P<0.05).观察组患者的LOTCA总分、MBI评分均较对照组高,差异亦有统计学意义(P<0.05).治疗后,LOTCA子项目除空间知觉外,在视知觉、动作运用、视运动组织、思维操作、注意力及专注力方面,观察组、对照组之间的差异均有统计学意义(P<0.05).结论音乐疗法配合认知训练比单纯的认知训练对改善脑卒中早期患者的认知功能障碍更加有利,并能更显著提高患者日常生活活动能力.
목적 관찰음악요법배합인지훈련대뇌졸중조기환자인지공능적영향.방법 장40례뇌졸중조기환자안입원시간선후수궤분위관찰조여대조조,매조20례,관찰조채용음악요법배합인지훈련,대조조진행인지훈련.응용락문사돈작업요법인지평정성투측험(LOTCA)중문제이판평정인지공능,용개량Barthel지수(MBI)평정일상생활활동능력.치료전급치료6주후대2조환자진행평정.결과 치료후,2조적LOTCA총분、MBI평분균교치료전증가,차이균유통계학의의(P<0.05).관찰조환자적LOTCA총분、MBI평분균교대조조고,차이역유통계학의의(P<0.05).치료후,LOTCA자항목제공간지각외,재시지각、동작운용、시운동조직、사유조작、주의력급전주력방면,관찰조、대조조지간적차이균유통계학의의(P<0.05).결론 음악요법배합인지훈련비단순적인지훈련대개선뇌졸중조기환자적인지공능장애경가유리,병능경현저제고환자일상생활활동능력.
Objective To investigate the effects of music therapy in treating cognitive dysfunction in early stroke patients. Methods Forty patients who had suffered a stroke in the previous four weeks were randomly di-vided into two groups of 20. One received music therapy as part of their cognitive training ( observation group) , and the other did not (control group). Before and after 6 weeks of treatment, cognitive functioning was evaluated using the second Chinese edition of Loewenstein's occupational therapy cognitive assessment (LOTCA). The patients' a-bility in the activities of daily living was also evaluated using the modified Barthel index (MBI). Results After treatment, the total LOTCA and MBI scores in both groups were significantly higher than before. Both LOTCA and MBI scores in the observation group were significantly higher than in the control group, and there were also signifi-cant differences between the observation and control groups on all of the LOTCA sub-items except spatial percep-tion. Conclusions Music therapy can improve the effects of rehabilitation on cognition and the ADL ability of early stroke patients.