感觉统合训练对卒中后轻度认知障碍患者认知功能及生活自理能力的影响  

Effects of sensory integration therapy on cognitive function and self-care ability in patients with mild cognitive impairment after stroke

作　　者：赵莹[1] 田丽[2] 王晓萍[2] 张文芳[3] 刘鸿梅[4] 张杰[5] 曹欣娣 许宏飞 Zhao Ying;Tian Li;Wang Xiaoping;Zhang Wenfang;Liu Hongmei;Zhang Jie;Cao Xindi;Xu Hongfei(Department of Neurology,Ward Area 1,Third Central Hospital of Tianjin,Tianjin Institute of Hepatobiliary Disease,Tianjin Key Laboratory of Artificial Cell,Artificial Cell Engineering Technology Research Center of Public Health Ministry,Tianjin 300170,China;Department of Nursing,Third Central Hospital of Tianjin,Tianjin 300170,China;CCU,Third Central Hospital of Tianjin,Tianjin 300170,China;Department of Neurology,Ward Area 2,Third Central Hospital of Tianjin,Tianjin 300170,China;不详)

机构地区：[1]天津市第三中心医院,天津市肝胆疾病研究所,天津市人工细胞重点实验室,卫生部人工细胞工程技术研究中心神经内科1病区,300170 [2]天津市第三中心医院护理部,300170 [3]天津市第三中心医院CCU,300170 [4]天津市第三中心医院ICU,300170 [5]天津市第三中心医院神经内科2病区,300170

出　　处：《中国实用护理杂志》2020年第34期2655-2659,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨卒中后轻度认知障碍患者经过感觉统合训练(简称感统训练)后认知功能及生活自理能力的变化。方法将100例卒中后轻度认知障碍患者按随机数字表法分为对照组和干预组各50例,对照组给予常规健康教育路径及康复训练,干预组在对照组的基础上采用感统训练的方式给予认知康复。在干预前、后均采用蒙特利尔认知评估和日常生活自理能力量表对患者的认知功能和生活自理能力进行评定。结果干预后,干预组MoCA总分、视空间、命名、语言、抽象、记忆得分分别为(26.02±1.15)、(3.50±0.76)、(2.98±0.14)、(2.90±0.30)、(2.84±0.37)、(3.18±0.69)分,对照组分别为(23.32±1.90)、(2.86±1.20)、(2.78±0.42)、(2.82±0.39)、(1.58±0.54)、(2.82±0.94)分,2组比较差异有统计学意义(t值为-18.296^-2.064,均P<0.05);干预后,干预组日常生活自理能力(ADL)总分、大便、小便、如厕、进食、穿衣、洗澡得分分别为(65.00±5.98)、(5.90±2.19)、(6.40±2.27)、(7.40±2.72)、(7.80±2.70)、(7.50±2.53)、(5.50±1.52)分,对照组分别为(53.60±10.20)、(3.50±3.23)、(5.00±3.50)、(5.50±3.23)、(5.40±3.76)、(5.90±3.45)、(4.40±2.79)分,2组比较差异有统计学意义(t值为-7.573^-2.615,均P<0.05)。结论感统训练能够提高卒中后轻度认知障碍患者的认知功能和生活自理能力。ion and memory scores of the intervention group were 26.02±1.15,3.50±0.76,2.98±0.14,2.90±0.30,2.84±0.37 and 3.18±0.69,respectively,while those of the control group were 23.32±1.90,2.86±1.20,2.78±0.42,2.82±0.39,1.58±0.54 and 2.82±0.94,respectively.The difference between the two groups was statistically significant(t value was-18.296--2.064,all P<0.05).The scores of attention and directional force in the intervention group were 5.44±0.67 and 5.18±0.85,respectively,while those in the control group were 5.32±0.84 and 5.14±0.78,respectively.There was no statistically significant difference between the two groups(t value was-1.288,-0.704,P>0.05).After intervention,the total ADL score,stool,urine,toilet,eating,dressing and bathing scores of the intervention group were 65.00±5.98,5.90±2.19,6.40±2.27,7.40±2.72,7.80±2.70,7.50±2.53 and 5.50±1.52,respectively,The control group was 53.60±10.20,3.50±3.23,5.00±3.50,5.50±3.23,5.40±3.76,5.90±3.45,and 4.40±2.79,respectively.The difference between the two groups was statistically significant(t value was-7.573^-2.615,all P<0.05).Conclusions Sensory integration therapy can improve the cognitive function and self-care ability of patients with mild cognitive impairment after stroke.

关 键 词：卒中后轻度认知障碍 认知功能 生活自理能力 感统训练 

分 类 号：R493[医药卫生—康复医学] R743.3[医药卫生—临床医学]