Abstract:

Objective To explore the impact of Forebrain verbal and auditory feedback cognitive training on cognitive function and daily living ability of patients with brain trauma. Methods From October 2021 to May 2022，80 patients with cognitive impairment after traumatic brain injury who met the inclusion and exclusion criteria were selected from the neurosurgery department of a tertiary hospital in Tangshan City，and they were randomly divided into a treatment group and a matched group according to the "RAND-function". 40 patients in the treatment group received routine nursing on the first day of enrollment，and Forbrain training was added on the second day while receiving rehabilitation nursing. The intervention time was for 2 weeks. At the same time，40 patients in the matched group received neurosurgery rehabilitation nursing measures for 2 weeks. The researchers collected the patients’ general and disease data on the first day of admission. MoCA and BI are used to complete the evaluation of the patient’s cognitive function and daily life ability，and the same scales were used for re-evaluation after 2 weeks of intervention. Results The baseline indexes of the 2 groups were comparable（P>0.05）. After 2 weeks，regarding the cognitive function，the researchers found that the cognitive score and difference score of the treatment group were significantly higher than those of the matched group（P<0.001）；the treatment group had higher differences in all 5 cognitive dimensions than the matched group，including visuospatial function，attention，language，abstraction and memory（P<0.05）. Regarding activity of daily living，the researchers found that the BI score and difference score of the treatment group were significantly higher than those of the matched group（P<0.001）. Conclusion Forbrain training can improve cognitive function and daily living ability of patients with brain injury，and promote the recovery of attention，memory and language functions.

Key words: Brain Injury, Cognitive Impairment, Cognitive Training, Activities of Daily Living, Rehabilitation Nursing

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。

关键词: 脑外伤, 认知障碍, 认知训练, 日常生活活动, 康复护理