影响老年脑卒中患者血管性认知功能障碍的相关因素分析与护理对策  

Analysis of related factors affecting vascular cognitive dysfunction in elderly patients with stroke and the nursing strategies

作　　者：王敏[1] 顾志娥[1] 季亚芹[1] 韩芝[1] WANG Min;GU ZHi-e;JI Ya-qin;HAN Zhi

机构地区：[1]江苏省苏北人民医院神经内科,扬州市225001

出　　处：《护理实践与研究》2019年第4期16-18,共3页Nursing Practice and Research

摘　　要：目的探讨影响老年脑卒中患者血管性认知功能障碍的相关因素,并提出早期认知康复护理干预措施。方法选取2015年3月至2017年12月我院收治的90例老年脑卒中患者作为研究对象,其中21例患者发生血管性认知功能障碍,69例患者未发生血管性认知功能障碍,采用单因素分析和logisticl回归分析确定影响老年脑卒中患者血管性认知功能障碍的因素。结果经logistic多因素回归分析发现,高收缩压、高糖化血红蛋白、高超敏C反应蛋白、高同型半胱氨酸为影响老年脑卒中患者血管性认知功能障碍的独立危险因素。结论针对老年脑卒中引发患者血管性认知障碍的独立危险因素,应早期预测相关指标并采取认知康复护理干预,提高脑部组织修复和重塑。Objective To explore the related factors affecting vascular cognitive dysfunction in elderly patients with stroke, and to propose early cognitive rehabilitation nursing interventions. Methods A total of 90 elderly stroke patients admitted to our hospital from March 2015 to December 2017 were selected as the study subjects. Among them, 21 patients had vascular cognitive dysfunction, and 69 patients did not have vascular cognitive dysfunction. Univariate analysis and logistical regression analysis were used to determine the factors affecting vascular cognitive dysfunction in elderly patients with stroke. Results Logistic multivariate regression analysis found that high systolic blood pressure, hyper glycated hemoglobin, hypersensitive C-reactive protein, and homocysteinewere independent risk factors for vascular cognitive impairment in elderly patients with stroke. Conclusion For the independent risk factors of vascular cognitive impairment in elderly patients with stroke, early prediction of relevant indicators and cognitive rehabilitation nursing intervention should be carried out to improve their brain tissue repair and remodeling.

关 键 词：老年患者 脑卒中 血管性认知障碍 危险因素 早期认知康复 

分 类 号：R473.74[医药卫生—护理学]