中华护理杂志 ›› 2023, Vol. 58 ›› Issue (5): 552-557.DOI: 10.3761/j.issn.0254-1769.2023.05.006
收稿日期:
2022-08-30
出版日期:
2023-03-10
发布日期:
2023-03-01
通讯作者:
郝习君,E-mail:poya@foxmail.com作者简介:
张雪茹:女,本科(硕士在读),护师,E-mail:13085843136@163.com
基金资助:
ZHANG Xueru(), HAO Xijun(
), CHEN Changxiang
Received:
2022-08-30
Online:
2023-03-10
Published:
2023-03-01
摘要:
目的 探讨Forbrain言语听觉反馈认知训练在脑外伤认知障碍患者中的应用效果。 方法 2021年10月—2022年5月选取唐山市某三级甲等医院神经外科住院保守治疗的80例脑外伤认知障碍患者,随机分为试验组与对照组,各40例,试验组在对照组干预措施的基础上增加Forbrain言语听觉反馈认知训练,对照组接受神经外科康复护理干预,均干预2周。于入组首日收集患者的一般资料与疾病资料,使用蒙特利尔认知评定量表(Montreal Cognitive Assessment,MoCA)和Barthel指数量表(Barthel Index,BI)完成患者认知功能和日常生活能力的评估,干预2周后使用相同量表再次进行评估。 结果 试验组39例,对照组37例完成研究。干预前,两组一般资料及MoCA和BI评分均具有可比性(P>0.05)。干预后,①认知功能评估,试验组的MoCA总分与进步分数均高于对照组(P<0.001);试验组在视空间功能、注意力、语言、抽象与记忆力维度的进步幅度大于对照组(P<0.001);②日常生活能力评估,试验组的BI总分与进步分数均高于对照组(P<0.001)。 结论 Forbrain言语听觉反馈认知训练能够提高脑外伤患者的认知功能与日常生活能力,促进患者注意力、记忆力与语言等功能的恢复。
张雪茹, 郝习君, 陈长香. 言语听觉反馈认知训练在脑外伤认知障碍患者中的应用研究[J]. 中华护理杂志, 2023, 58(5): 552-557.
ZHANG Xueru, HAO Xijun, CHEN Changxiang. Application of Forbrain training in patients with cognitive impairment after traumatic craniocerebral injury[J]. Chinese Journal of Nursing, 2023, 58(5): 552-557.
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表2 两组干预前后蒙特利尔认知评定量表得分比较[分,M(P25,P75)]
Table 2 Comparison of total scores of Montreal Cognitive Assessment in patients with brain injury[score,M(P25,P75)]
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表3 两组干预前后蒙特利尔认知评定量表各维度得分比较[分,M(P25,P75)]
Table 3 Comparison of dimensions of Montreal Cognitive Assessment Scale before and after intervention[score,M(P25,P75)]
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