摘要
目的探讨精细化护理联合注意力和工作记忆康复训练在脑梗死认知功能障碍患者中的应用效果.方法选择2020年5月—2023年3月我院收治的82例脑梗死认知功能障碍患者为研究对象,按随机数字表法分为对照组和观察组,每组41例.对照组实施常规护理,观察组实施精细化护理联合注意力和工作记忆康复训练,两组均持续护理4周.对比两组的神经功能、认知功能、日常生活能力与护理满意度.结果护理后,观察组美国国立卫生研究院卒中量表评分、蒙特利尔认知功能量表评分均低于对照组,日常生活能力指数量表评分高于对照组,组间差异有统计学意义(P<0.05).观察组护理满意度为95.12%,高于对照组的80.49%,差异有统计学意义(P<0.05).结论精细化护理联合注意力和工作记忆康复训练在脑梗死认知障碍患者中具有较好的应用效果,有利于改善其神经功能与认知功能,减轻认知障碍,提升日常生活能力与护理满意度.
Objective To explore the application effect of refined nursing combined with attention and working memory rehabilitation training in patients with cognitive impairment caused by cerebral infarction.Methods 82 patients with cognitive impairment due to cerebral infarction admitted to our hospital from May 2020 to March 2023 were selected as the research subjects,divided into a control group and an observation group using a random number table method,with 41 cases in each group.The control group received routine nursing,while the observation group received refined nursing combined with attention and working memory rehabilitation training.Both groups received continuous nursing for 4 weeks.The neurological function,cognitive function,daily living ability,and nursing satisfaction between two groups were compared.Results After nursing,the observation group had lower scores on the National Institutes of Health Stroke Scale and Montreal Cognitive Function Scale compared to the control group,and higher scores on the Activities of Daily Living Index compared to the control group,the differences between two groups were statistically significant(P<0.05).The nursing satisfaction of the observation group was 95.12%,which was higher than 80.49%of the control group,the difference between groups was statistically significant(P<0.05).Conclusion Refinea nursing combined with attention and working memory rehabilitation training has a good application effect on cognitive impairment patients with cerebral infarction,which is beneficial for improving their neurological and cognitive functions,reducing cognitive impairment,enhancing daily life ability,and nursing satisfaction.
作者
高莎莎
GAO Shasha(Stroke Center,Weifang People's Hospital,Weifang Shandong,261000,China)
出处
《反射疗法与康复医学》
2024年第3期117-120,共4页
Reflexology And Rehabilitation Medicine
关键词
脑梗死
认知功能障碍
精细化护理
注意力和工作记忆康复训练
神经功能
认知功能
Cerebral infarction
Cognitive impairment
Refined nursing
Attention and working memory rehabilitation training
Neurological function
Cognitive function
作者简介
高莎莎(1985-),女,山东潍坊人,本科,主管护师,研究方向:脑卒中康复护理。