齐鲁护理杂志
齊魯護理雜誌
제로호리잡지
JOURNAL OF QILU NURSING
2015年
13期
29-31
,共3页
脑卒中%认知功能障碍%三阶段服药程序%奥拉西坦
腦卒中%認知功能障礙%三階段服藥程序%奧拉西坦
뇌졸중%인지공능장애%삼계단복약정서%오랍서탄
Stroke%Cognitive dysfunction%Three-stage medication program%Oxiracetam
目的：探讨认知护理介导的三阶段服药程序在脑卒中后认知障碍患者中的应用效果。方法：将脑卒中后认知功能障碍患者120例按照随机数字表法分为观察组和对照组各60例，两组均给予奥拉西坦治疗，对照组给予常规用药护理，观察组患者给予认知护理介导的三阶段服药程序干预措施，两组疗程均为6个月；观察两组治疗前后蒙特利尔认知评估量表（ MoCA）、简易智能量表（ MMSE）及日常生活能力量表（ ADL）评分变化，并评价疗效。结果：治疗后，两组MoCA 、MMSE、ADL评分均较治疗前明显改善，观察组改善情况明显优于对照组（ P<0.05）；观察组的MoCA 、MMSE、ADL评分改善总有效率均明显高于对照组（ P<0.05）。结论：认知护理介导的三阶段服药程序在脑卒中后认知障碍患者中的应用效果满意，改善认知功能及日常生活能力。
目的：探討認知護理介導的三階段服藥程序在腦卒中後認知障礙患者中的應用效果。方法：將腦卒中後認知功能障礙患者120例按照隨機數字錶法分為觀察組和對照組各60例，兩組均給予奧拉西坦治療，對照組給予常規用藥護理，觀察組患者給予認知護理介導的三階段服藥程序榦預措施，兩組療程均為6箇月；觀察兩組治療前後矇特利爾認知評估量錶（ MoCA）、簡易智能量錶（ MMSE）及日常生活能力量錶（ ADL）評分變化，併評價療效。結果：治療後，兩組MoCA 、MMSE、ADL評分均較治療前明顯改善，觀察組改善情況明顯優于對照組（ P<0.05）；觀察組的MoCA 、MMSE、ADL評分改善總有效率均明顯高于對照組（ P<0.05）。結論：認知護理介導的三階段服藥程序在腦卒中後認知障礙患者中的應用效果滿意，改善認知功能及日常生活能力。
목적：탐토인지호리개도적삼계단복약정서재뇌졸중후인지장애환자중적응용효과。방법：장뇌졸중후인지공능장애환자120례안조수궤수자표법분위관찰조화대조조각60례，량조균급여오랍서탄치료，대조조급여상규용약호리，관찰조환자급여인지호리개도적삼계단복약정서간예조시，량조료정균위6개월；관찰량조치료전후몽특리이인지평고량표（ MoCA）、간역지능량표（ MMSE）급일상생활능역량표（ ADL）평분변화，병평개료효。결과：치료후，량조MoCA 、MMSE、ADL평분균교치료전명현개선，관찰조개선정황명현우우대조조（ P<0.05）；관찰조적MoCA 、MMSE、ADL평분개선총유효솔균명현고우대조조（ P<0.05）。결론：인지호리개도적삼계단복약정서재뇌졸중후인지장애환자중적응용효과만의，개선인지공능급일상생활능력。
Objective:To investigate the effect of application of three-stage medication program of a nurse-led cognitive nursing care in patients with cognitive disorder resulting from cerebral stroke. Methods:120 stroke patients with cognitive disorder were randomly divided into the observation group and the control group(60 cases in each group). The patients in both groups were treated with oxiracetam,at the same time the routine nursing care was taken in the control group and the three-stage medication program of a nurse-led cognitive nurs-ing care was applied in the observation group,the course of treatment was 6 months in both groups. The change of the scores of MoCA, MMSE and ADL was observed in the two groups before and after treatment and the clinical effect was evaluated. Results:The scores of Mo-CA,MMSE and ADL significantly changed after treatment,compared with those before treatment,in the two groups and the improvement was significantly better in the observation group than the control group(P<0. 05);the total effective rate was significantly higher in the observation group than the control group(P>0. 05). Conclusion:The effect of three-stage medication program of a nurse-led cognitive nursing care is satisfactory in the improvement of the cognitive function and ability of ADL of stroke patients with cognitive disorder.
