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目的:探讨延续护理干预对卒中后非痴呆型认知障碍患者的影响。方法:将符合入组标准的91例患者按随机数字法分为对照组和干预组。对照组采用常规护理,出院后每15 d进行电话随访1次;干预组对患者及照顾者进行居家护理技能的培训和考核,出院后专人随访。两组患者分别于干预前,干预后3、6个月采用简易智能量表(MMSE)、日常生活能力评定量表(ADL)、社会功能调查表(SFRS)、Fugl-Meyer运动功能评定量表进行评估。结果:干预3个月后两组评分均较干预前有所提高,但两组差异无统计学意义(P>0.05);6个月后干预组各项评分分别为MMSE 29.14±2.612,ADL 28.2±9.982,SFRS 5.89±2.423,FuglMeyer 52.31±2.413,两组之间差异有统计学意义(P<0.05)。结论:延续护理可改善卒中后非痴呆型认知障碍患者的认知功能,提高其日常生活能力。
Objective: To investigate the effect of extended nursing intervention on patients with non-demented cognitive impairment after stroke. Methods: 91 patients who met the inclusion criteria were divided into control group and intervention group by random number method. The control group received routine nursing care and were followed up by telephone every 15 days after discharge. The intervention group trained and evaluated home care skills of patients and caregivers, followed up by hand. The two groups of patients were assessed with MMSE, ADRS, SFRS, Fugl-Meyer Motor Function Rating Scale before intervention and 3 and 6 months after intervention respectively. to evaluate. Results: After 3 months of intervention, the scores of both groups were higher than those before intervention, but there was no significant difference between the two groups (P> 0.05). After 6 months, the scores of the two groups were MMSE 29.14 ± 2.612, ADL 28.2 ± 9.982, SFRS 5.89 ± 2.423 and FuglMeyer 52.31 ± 2.413, respectively. The difference between the two groups was statistically significant (P <0.05). CONCLUSION: Extended nursing can improve the cognitive function and improve the daily living ability of patients with dementia without cognitive impairment after stroke.