CAJ | 학술논문

目的：探讨自我效能训练对缺血性脑卒中认知障碍患者执行功能和生存质量的影响。方法80例认知障碍的缺血性脑卒中患者随机分为对照组（40例）和自我效能训练组（40例）。对照组给予针对性的认知干预，干预组在认知干预的同时施以效能感训练。采用一般自我效能感量表（ GSES）评价患者自我效能水平，采用执行缺陷综合征的行为评价（ BADS）进行执行功能评测；采用生命质量简表SF-36进行生命质量评测；采用Zung 抑郁自评量表（ SDS）和Zung 焦虑自评量表（ SAS ）评测患者焦虑和抑郁情况。结果治疗前，两组在自我效能水平、 BADS各项指标评分、生存质量各项指标评分、SDS 和SAS评分差异均无统计学意义（ P＞0．05）；训练后，效能训练组自我效能水平评分、BADS各项指标评分、生存质量各项指标评分、SDS 和SAS评分优于对照组，差异有统计学意义（P＜0．05）。结论自我效能训练可促进缺血性脑卒中认知障碍患者执行功能的恢复，提高患者生存质量。
목적：탐토자아효능훈련대결혈성뇌졸중인지장애환자집행공능화생존질량적영향。방법80례인지장애적결혈성뇌졸중환자수궤분위대조조（40례）화자아효능훈련조（40례）。대조조급여침대성적인지간예，간예조재인지간예적동시시이효능감훈련。채용일반자아효능감량표（ GSES）평개환자자아효능수평，채용집행결함종합정적행위평개（ BADS）진행집행공능평측；채용생명질량간표SF-36진행생명질량평측；채용Zung 억욱자평량표（ SDS）화Zung 초필자평량표（ SAS ）평측환자초필화억욱정황。결과치료전，량조재자아효능수평、 BADS각항지표평분、생존질량각항지표평분、SDS 화SAS평분차이균무통계학의의（ P＞0．05）；훈련후，효능훈련조자아효능수평평분、BADS각항지표평분、생존질량각항지표평분、SDS 화SAS평분우우대조조，차이유통계학의의（P＜0．05）。결론자아효능훈련가촉진결혈성뇌졸중인지장애환자집행공능적회복，제고환자생존질량。
Objective To explore the influence of self-efficacy training on executive function and quality of life in ischemic stroke patients with cognitive impairment .Methods 80 cases were randomly divide into self-efficacy training group and control group , 40 in each;control group took routine cognitive interventions therapy;self-efficacy training group with cognitive interventions +efficacy training .Self-efficacy levels were examined by the general self-efficacy scale ( GSES ) , executive function was detected by the Behavioral Assessment of Dysexecutive syndrome (BADs).Quality of life was evaluated by the SF-36 scale.Anxiety and depression were evaluated by Self-rating Depression Scale ( SDS) and Self-Rating Anxiety Scale ( SAS) .Results There was no marked difference in GSES , BADs,SF-36,SDS and SAS scores before treatment; after training, they were much improved;Moreover,they were more improved in self-efficacy training group than control group .Conclusion Self-efficacy training can promote the recovery of executive function of patients with ischemic stroke ,thus to improve the quality of life .