周依群,廖坚,唐琦,张微平.卒中认知功能早期康复锻炼模式的构建与运用[J].上海护理,2020,20(3):
卒中认知功能早期康复锻炼模式的构建与运用
[4] Hachinski V,Iadecola C,Petersen RC,et al.NationalInstitute of Neurological Disorders and Stroke-CanadianStroke Network vascu- lar cognitive impairment harmonizationstandards [ J ] . Stroke, 2006,37(9):2220 -2241.
DOI:
中文关键词:  脑卒中  认知功能  早期康复
英文关键词:stroke  cognitive function  early rehabilitation  
基金项目:复旦大学护理科研基金(编号:FNF201547);复旦大学临床护理特色专科建设项目(FNSF201606)
作者单位E-mail
周依群* 复旦大学附属华山医院静安分院 zhouyiqunsh@163.com 
廖坚 复旦大学附属华山医院静安分院  
唐琦 复旦大学附属华山医院静安分院  
张微平 复旦大学附属华山医院静安分院  
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中文摘要:
      摘要:目的:了解卒中患者认知功能障碍康复锻炼方案对患者健康照护结局的影响。方法:将符合标准的患者通过抽签法分为实验组(47例)和对照组(52例),对照组实施常规康复训练,实验组在对照组基础上实施卒中认知功能障碍康复训练方案,根据每位患者认知功能评定结果进行针对性、一对一的认知功能训练。结果:比较实验组与对照组,干预前两组MoCA及Barthel指数无统计学意义;干预后6个月与12个月比较,MoCA及Barthel指数均具有统计学意义。对照组与观察组患者,在干预后6个月、12个月满意度得分差异具有统计学意义(P=0.000)。结论:融入多学科协作理念构建的脑卒中患者认知功能障碍康复训练方案能够有效改善脑卒中患者的认知功能状态,进而改善脑卒中患者疾病照护结局。
英文摘要:
      Abstract:Objective: To investigate the effect of rehabilitation exercise program on the healthcare outcome in stroke patients with cognitive impairment. Methods: The patients were divided into experimental group (47 cases) and control group (52 cases) randomly. The control group was given routine rehabilitation training. The experimental group was given early rehabilitation training model of stroke cognitive impairment on the basis of the control group. Results: in the experimental group and control group, MoCA and Barthel index were not statistically significant before intervention, were statistically significant after 6 months and 12 months respectively; the satisfaction degree was statistically significant after 6 months and 12 months respectively(P =0.000). Conclusion: The rehabilitation training program for stroke patients with cognitive impairment based on the concept of multi-disciplinary cooperation can effectively improve the cognitive function of stroke patients, and then improve the healthcare outcome for stroke patients.
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