中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
18期
2134-2137
,共4页
腔隙性脑梗死%认知功能障碍%早期护理干预%依从性
腔隙性腦梗死%認知功能障礙%早期護理榦預%依從性
강극성뇌경사%인지공능장애%조기호리간예%의종성
Lacunar infarction%Cognitive dysfunction%Early nursing intervention%Compliance
目的 探讨早期护理干预对腔隙性脑梗死患者认知功能障碍康复认知及依从性的影响.方法 选择61例初次发病的腔隙性脑梗死住院患者,使用中文版蒙特利尔认知评估(MoCA)量表进行认知功能障碍评分,将评分＜26分的患者随机分为实验组和对照组,对照组(31例)给予常规的认知康复护理,实验组(30例)在常规的康复护理基础上实施早期护理干预3个月,即根据患者情况制定个体化认知功能康复训练以及手指操训练,在干预前、后两组进行认知康复治疗的认知情况比较,在干预1,2,3个月后对两组进行认知功能康复治疗的依从性进行调查.结果 护理干预前,两组的认知功能康复认知状况分别得分(4.8±0.68)和(4.8±0.54),差异无统计学意义(P＞0.05),干预后2周实验组和对照组的认知功能康复认知状况得分分别为(15.7±2.65),(11.5 ±1.87)分,差异有统计学意义(t=7.088,P＜0.01)；经护理干预3个月后,实验组的认知功能康复治疗的依从性在1,2,3个月均显著高于对照组,差异均有统计学意义(P＜0.05).结论 对腔隙性脑梗死认知功能障碍的患者进行早期护理干预可以显著提高认知功能康复治疗的依从性.
目的 探討早期護理榦預對腔隙性腦梗死患者認知功能障礙康複認知及依從性的影響.方法 選擇61例初次髮病的腔隙性腦梗死住院患者,使用中文版矇特利爾認知評估(MoCA)量錶進行認知功能障礙評分,將評分＜26分的患者隨機分為實驗組和對照組,對照組(31例)給予常規的認知康複護理,實驗組(30例)在常規的康複護理基礎上實施早期護理榦預3箇月,即根據患者情況製定箇體化認知功能康複訓練以及手指操訓練,在榦預前、後兩組進行認知康複治療的認知情況比較,在榦預1,2,3箇月後對兩組進行認知功能康複治療的依從性進行調查.結果 護理榦預前,兩組的認知功能康複認知狀況分彆得分(4.8±0.68)和(4.8±0.54),差異無統計學意義(P＞0.05),榦預後2週實驗組和對照組的認知功能康複認知狀況得分分彆為(15.7±2.65),(11.5 ±1.87)分,差異有統計學意義(t=7.088,P＜0.01)；經護理榦預3箇月後,實驗組的認知功能康複治療的依從性在1,2,3箇月均顯著高于對照組,差異均有統計學意義(P＜0.05).結論 對腔隙性腦梗死認知功能障礙的患者進行早期護理榦預可以顯著提高認知功能康複治療的依從性.
목적 탐토조기호리간예대강극성뇌경사환자인지공능장애강복인지급의종성적영향.방법 선택61례초차발병적강극성뇌경사주원환자,사용중문판몽특리이인지평고(MoCA)량표진행인지공능장애평분,장평분＜26분적환자수궤분위실험조화대조조,대조조(31례)급여상규적인지강복호리,실험조(30례)재상규적강복호리기출상실시조기호리간예3개월,즉근거환자정황제정개체화인지공능강복훈련이급수지조훈련,재간예전、후량조진행인지강복치료적인지정황비교,재간예1,2,3개월후대량조진행인지공능강복치료적의종성진행조사.결과 호리간예전,량조적인지공능강복인지상황분별득분(4.8±0.68)화(4.8±0.54),차이무통계학의의(P＞0.05),간예후2주실험조화대조조적인지공능강복인지상황득분분별위(15.7±2.65),(11.5 ±1.87)분,차이유통계학의의(t=7.088,P＜0.01)；경호리간예3개월후,실험조적인지공능강복치료적의종성재1,2,3개월균현저고우대조조,차이균유통계학의의(P＜0.05).결론 대강극성뇌경사인지공능장애적환자진행조기호리간예가이현저제고인지공능강복치료적의종성.
Objective To investigate the effect of early nursing intervention on cognitive and compliance of cognitive function rehabilitation in patients with lacunar infarction.Methods 61 patients with lacunar infarction were chosen and Montreal cognitive assessment (MoCA) was used to evaluate their cognitive dysfunction.Those who scored less than 26 were randomly divided into the experimental group and the control group.The control group was given conventional cognitive rehabilitation nursing,while the experimental group was given early nursing intervention for 3 months in addition,which included developing individual rehabilitation exercise and finger operation training according to patients' conditions.Two weeks after intervention,cognitive function rehabilitation effect was compared between two groups,and one,two and three months later,two groups'compliance of cognitive function rehabilitation was investigated.Results Before nursing intervention,scores of cognitive function rehabilitation in two groups were (4.8 ±0.68) and (4.8 ±0.54),and there was no statistically significant difference (P ＞ 0.01).Two groups after intervention,score of cognitive function rehabilitation was (15.7 ±2.65) in the experimental group and (11.5 ± 1.87) in the control group,and the difference was statistically significant (t =7.088,P ＜ 0.01).3 months later,patients' compliance of cognitive function rehabilitation in the first,second and third month was all higher in the experimental group than in the control group,and the differences were statistically significant (P ＜ 0.01).Conclusions Early nursing intervention for patients with lacunar infarction can obviously improve their compliance of cognitive function rehabilitation.
