早期认知康复对ICU转出患者认知、身体功能及生活质量影响的临床观察  

The effect of early cognitive rehabilitation on cognitive, physical function and quality of life in ICU survivors

作　　者：张毅[1] 杨进[1] 邹军[1] 宋家志[1] 沈钦[1] 

机构地区：[1]成都市第五人民医院重症医学科,成都611130

出　　处：《中国医师杂志》2016年第9期1345-1348,共4页Journal of Chinese Physician

摘　　要：目的探讨早期认知康复对ICU转出患者认知、身体功能及生活质量的临床影响。方法选择自ICU转至普通病房的患者120例为研究对象，按随机数字表法分为对照组与观察组各60例。对照组按照其原患疾病给予对症治疗，不进行认知干预；观察组在对照组基础上立即对患者进行认知康复训练，2次／周，2h／次，疗程12周。采用记忆与执行筛查量表（MES）、日常活动量表（ADL）及简明健康调查量表（SF-36）比较治疗前后两组患者的认知功能、躯体功能及生活质量。结果与治疗前相比，治疗后观察组的MES、SF-36（除外躯体疼痛）及ADL量表的项目评分均明显升高，SF-36量表中的躯体疼痛项评分明显降低，差异均有统计学意义（P〈0．05）；与对照组相比，治疗后观察组的MES、SF-36（除外躯体疼痛）及ADL量表的评分均显著升高，观察组的SF-36量表中的躯体疼痛项评分与对照相比明显降低，差异均具有统计学意义（P〈0．05）。结论早期认知康复可以显著改善ICU转出患者认知、身体功能及生活质量，值得临床借鉴参考。Objective To explore the clinical effect of early cognitive rehabilitation on cognitive, physical function and quality of life in the patients transferred from intensive care unit （ICU）. Methods A total of 120 cases of patients who were transferred from ICU to general wards was randomly divided into the control group and the observation group with 60 cases in each group. The control group was given symp- tomatic treatment according to their original disease, without cognitive intervention. On the basis of the con- trol group, the observation group was treated with cognitive rehabilitation training, 2 times / week, 2 h/ times, 12 weeks of treatment. The cognitive function, physical function and quality of life of two groups were compared with the memory and executive screening scale （MES）, the daily activity scale （ADL）, and the concise Health Survey （SF-36） before and after treatment. Results Compared to before treatment, af- ter treatment, MES, SF-36 （in addition to bodily pain） and ADL scale project score in the observation group was significantly higher, SF-36 bodily pain scores decreased significantly, all the differences were sta- tistically significant （ P 〈 O. 05） ; Compared to the control group, after treatment, the MES, SF-36 （in ad- dition to bodily pain） and ADL scale scores in the observation group of were significantly increased, the bodily pain score of SF-36 in the observation group compared with the control group decreased significantly, all the differences were statistically significant （ P 〈 0. 05 ）. Conclusions Early cognitive rehabilitation can significantly improve the cognitive, physical function and quality of life in the patients transferred from ICU, and it is worthy of clinical reference.

关 键 词：认知 康复 生活质量 重症监护病房 

分 类 号：R473[医药卫生—护理学]