脑卒中患者认知障碍与日常生活活动能力的相关性研究  

THE RESEARCH ON CORRELATION OF COGNITIVE IMPAIRMENT AND ACTIVITIES OF DAILY LIVING IN STROKE PATIENTS

作　　者：龚素芬[1] 邢凤梅[1] 张小丽[1] 唐惠艳[1] 

机构地区：[1]河北华北煤炭医学院护理系,唐山063000

出　　处：《现代预防医学》2011年第1期104-105,共2页Modern Preventive Medicine

基　　金：唐山市科技局基金资助项目(08130204A-1-2);河北省卫生厅科研项目(08404)

摘　　要：[目的]探讨脑卒中患者认知障碍与日常生活活动能力(ADL)的相关性。[方法]采用简易智力状态检查量表(MMSE),日常生活活动能力评价量表(Barthel评分)和患者基本情况调查表对北京市3所医院474例脑卒中患者进行调查,采用SPSS13.0统计软件进行分析。[结果]474例脑卒中患者认知功能障碍发生率为50.63%,其中初中文化程度、左偏手、偏瘫、日常生活能力低的脑卒中患者认知功能障碍发病率高,差异有统计学意义(P﹤0.01)。[结论]脑卒中患者认知功能障碍发生率较高,脑卒中患者认知障碍与ADL相关。[Objective] To explore the relationship between cognitive impairment in stroke patients and their activities of daily living. [Methods] 474 patients with cerebral apoplexy in three hospitals were investigated by using mini-mental state examination （MMSE）, ability of daily life （Barthel exponent） and self-made questionnaires. Statistical analysis was performed by SPSS 13.0 software. [ Results] 50.63% of the patients with cerebral apoplexy had cognitive impairment. Patients with low culture level, left-handed, hemiplegia, activity of daily living had high incidence of cognitive disorder, which was significant higher than that of normal patients with cerebral apoplexy, there were significant differences （P 〈 0.01）. [Conclusion] Patients with cerebral apoplexy has high incidence of cognitive disorder, cogmtive impairment in stroke patients is related with its activities of daily living.

关 键 词：脑卒中 认知障碍 日常生活活动 

分 类 号：R743[医药卫生—神经病学与精神病学]