CAJ | 학술논문

目的观察基于游戏的认知康复训练对颅脑创伤患者认知功能障碍的影响.方法将符合纳入排除标准的60例颅脑创伤患者随机分为训练组和对照组各30例,均为蒙特利尔认知评定(Montreal cognitive assessment,MoCA)＜26分的颅脑创伤患者.训练组患者除接受常规护理外,接受认知康复训练小游戏,如一模一样游戏,敲鼓游戏,图片记忆游戏等；对照组只进行常规护理.比较2组患者认知功能的变化.结果经过30 d的训练,训练组认知功能除抽象外,均有明显提高.而对照组仅有注意,延迟回忆,定向及总分有所提高.且训练组分值除抽象外,均明显高于对照组.结论基于游戏的认知康复训练有助于改善颅脑创伤患者的认知功能.
목적 관찰기우유희적인지강복훈련대로뇌창상환자인지공능장애적영향.방법 장부합납입배제표준적60례로뇌창상환자수궤분위훈련조화대조조각30례,균위몽특리이인지평정(Montreal cognitive assessment,MoCA)＜26분적로뇌창상환자.훈련조환자제접수상규호리외,접수인지강복훈련소유희,여일모일양유희,고고유희,도편기억유희등；대조조지진행상규호리.비교2조환자인지공능적변화.결과 경과30 d적훈련,훈련조인지공능제추상외,균유명현제고.이대조조부유주의,연지회억,정향급총분유소제고.차훈련조분치제추상외,균명현고우대조조.결론 기우유희적인지강복훈련유조우개선로뇌창상환자적인지공능.
Objective To observe the effect of cognitive rehabilitation training based on games on cognition of the traumatic brain injury (TBI) patients.Methods 60 cases of patients according with the inclusion and exclusion criteria were divided into the control group and the training group with 30 cases in each group.The Montreal cognitive assessment (MoCA) test scores of all patients were lower than 26 points.The training group accepted the cognitive rehabilitation training based on games such as exactly the same game,drum game and picture memory game,while the control group did not accept the training.After one month,all patients accepted the MoCA test again.Then we analyzed the differences of the cognition between the two groups.Results After 30 days of training,all items of the cognitive function increased except the sub-item of abstraction.While in the control group,only the scores of attention,delayed recall,orientation and the total score showed alleviation.And all the scores of the training group were higher than those of the control group except the sub-item of abstraction.Conclusions Cognitive rehabilitation training based on games can effectively improve the cognitive function of TBI patients.