【摘要】 目的了解卒中患者认知功能障碍康复训练方案对患者健康照护结局的影响。方法于2016年1月—2017年6月,选择上海市静安区中心医院神经内科住院的脑卒中患者99例。将符合标准的患者通过抽签法分为观察组(n=47)和对照组(n=52)。两组患者入院后均接受脑卒中常规护理和治疗,对照组患者施以常规住院期间和出院后的康复训练,观察组患者在对照组基础上,根据患者认知功能评定结果实施个体化的认知功能障碍康复训练方案。结果干预6、12个月时,观察组患者认知功能评分、Barthel指数得分均高对照组(P<0.05);且干预后12个月时观察组认知功能评分、Barthel指数较干预6个月时得到持续改善(P<0.05),而对照组干预12个月和干预6个月比较差异无统计学意义(P>0.05)。干预6、12个月时,观察组患者满意度得分均高于对照组(P<0.05)。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的健康照护结局。更多还原

【Abstract】 Objective To investigate the effect of rehabilitation training program on health outcomes of stroke patients with cognitive dysfunction. Methods From January 2016 to June 2017, 99 stroke patients hospitalized in the Neurology Department, Shanghai Jing’an District Central Hospital were selected. The patients who met the criteria were divided into the observation group(n=47) and the control group(n=52) by lottery. The patients in the two groups received routine nursing and treatment for stroke after admission.Specifically, the patients in the control group received routine rehabilitation training when they were in and out of hospital, while the patients in the observation group, based on the trainings in the control group, further received personalized rehabilitation training program for cognitive dysfunction according to the results of cognitive function assessment. Results At Month 6 and Month 12 of intervention, the patients in the observation group had higher cognitive function scores and Barthel indexes than those of the patients in the control group(P<0.05). Besides, at Month 12 of intervention, the cognitive function scores and Barthel indexes in the observation group were continuously improved compared with those at Month 6(P<0.05), while there was no significant difference between the results at Month 12 and Month 6 of intervention in the control group(P>0.05). At Month 6 and Month 12 of intervention, the satisfaction scores in the observation group were higher than those in the control group(P<0.05). Conclusion The rehabilitation training program for stroke patients with cognitive dysfunction based on the concept of multidisciplinary collaboration can effectively improve the cognitive functions of stroke patients, and then improve their health outcomes.更多还原