卒中后非痴呆认知障碍病人的认知损害特点及护理分析  

Cognitive impairment features and nursing analysis of non-dementiacognitive impairment patients after stroke

作　　者：陈芳[1] 姜佰[1] 张嘉丽[1] 

机构地区：[1]广东省第二人民医院神经内科,广州510317

出　　处：《齐齐哈尔医学院学报》2015年第1期142-143,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨卒中后非痴呆认知障碍患者的认知损害特点及护理干预效果,以供参考。方法将本院2011年8月至2013年7月收治的卒中后非痴呆认知障碍患者70例纳入本研究,分析其认知损害特点,并实施相应的康复护理对策。对比护理干预前后认知功能、生活质量的变化。结果与护理干预前对比,护理干预后患者MMSE评分、Barthel指数均明显提高,差异经t检验后发现有统计学意义(P<0.05)。结论卒中后非痴呆认知障碍患者的认知功能损害表现为延迟记忆、视空间与执行、语言、注意与计算力、抽象思维等多项认知域的联合损害,早期认知功能康复护理有助于改善认知功能、提高生活质量。Objective To explore thecognitive impairment features and nursing analysis of non-dementiacognitive impairment patients after stroke. Methods 70 cases of non- dementiacognitive impairment patients after stroke who hospitalized in our hospital during August2011 and July 2013 were enrolled in this study.Analysis the features of cognitive impairment,and correspondingrehabilitation nursing strategieswere carried out.And compared the changes in quality of life and cognitive function before and after the nursing intervention.Results Compared with the scores before intervention,MMSE score and Barthel index were increased,and the differences were statistically significant（ P 0. 05）. Conclusions The features of non- dementiacognitive impairment patients after stroke mainly including joint damage such as delayed memory,visual spatial and executive,language,the ability ofattention and calculation,abstract thinking,et al. Early rehabilitationnursing ishelpful for improve cognitive function and the quality of life.

关 键 词：脑卒中 非痴呆认知障碍 认知损害特点 护理干预 

分 类 号：R749.16[医药卫生—神经病学与精神病学]