视听刺激在脑卒中长期卧床患者护理中的应用效果  

Application effect of audio-visual stimulation in the nursing of long-term bedridden stroke patients

作　　者：糜盘英[1] 邓丽云[1] 吴红华[1] MI Panying;DENG Liyun;WU Honghua(Geriatrics Department,Changzhou De'an Hospital,Changzhou 213000,China)

机构地区：[1]常州市德安医院老年科,江苏常州213000

出　　处：《临床医学研究与实践》2023年第36期166-169,共4页Clinical Research and Practice

摘　　要：目的探究视听刺激在脑卒中长期卧床患者护理中的应用效果。方法将2020年3月至2022年1月我科收治的70例脑卒中长期卧床患者采用随机数字表法将其分为对照组与观察组,每组35例。对照组实施常规护理干预,观察组在常规护理基础上增加视听刺激干预。比较两组的干预效果。结果入院3个月后,观察组的蒙特利尔认知评估量表(MoCA)各维度评分及总分与入院时无显著差异(P>0.05);入院3个月后后,观察组的注意、延迟记忆、定向评分及MoCA总分高于对照组,而对照组低于入院时(P<0.05)。入院3个月后,观察组的P300潜伏期短于对照组,P300波幅高于对照组(P<0.05)。入院3个月后,观察组的正性情感、正性体验评分及纽芬兰纪念大学幸福度量表(MUNSH)总分高于对照组,负性情感、负性体验评分低于对照组(P<0.05)。结论视听刺激可有效预防或延缓脑卒中长期卧床患者的认知减退,还可提高其主观幸福感。Objective To explore the application effect of audio-visual stimulation in the nursing of long-term bedridden stroke patients.Methods A total of 70 long-term bedridden stroke patients admitted in our department from March 2020 to January 2022 were divided into control group and observation group by random number table method,with 35 cases in each group.The control group was given routine nursing intervention,and the observation group was given audio-visual stimulation intervention on the basis of routine nursing.The intervention effects of the two groups were compared.Results After 3 months of admission,there were no significant differences in the scores of each dimension and total score of Montreal Cognitive Assessment Scale(MoCA)in the observation group compared with the time of admission(P>0.05);after 3 months of admission,the scores of attention,delayed memory,orientation and MoCA total score in the observation group were higher than those in the control group,while those in the control group were lower than those at time of admission(P<0.05).After 3 months of admission,the latency of P300 in the observation group was shorter than that in the control group,and the amplitude of P300 was higher than that in the control group(P<0.05).After 3 months of admission,the scores of positive emotion and positive experience and the total score of Memorial University of Newfoundland Scale of Happiness(MUNSH)in the observation group were higher than those in the control group,while the scores of negative emotion and negative experience were lower than those in the control group(P<0.05).Conclusion Audio-visual stimulation can effectively prevent or delay the cognitive decline of long-term bedridden stroke patients,and can also improve their subjective well-being.

关 键 词：视听刺激 脑卒中 长期卧床 

分 类 号：R473[医药卫生—护理学]