作业疗法对老年脑卒中后抑郁伴轻度认知障碍患者精神状态及执行能力的疗效分析  

Analysis of effects of occupational therapy on mental state and executive ability in elderly patients with post-stroke depression and mild cognitive impairment

作　　者：李袁豪 吉洁[1] Li Yuanhao;Ji Jie(Department of Rehabilitation Medicine,Minhang Hospital(Central Hospital of Minhang District,Shanghai),Fudan University,Shanghai,P.R.China)

机构地区：[1]复旦大学附属闵行医院(上海市闵行区中心医院)康复医学科,上海201199

出　　处：《老年医学与保健》2024年第5期1325-1328,1337,共5页Geriatrics & Health Care

基　　金：上海市闵行区自然科学基金项目(2024MHZ074)。

摘　　要：目的分析作业疗法改善老年脑卒中后抑郁伴轻度认知障碍患者精神状态及执行能力的治疗意义。方法回顾性分析2022年1月—2023年12月在上海市闵行区中心医院治疗的老年脑卒中后抑郁伴轻度认知障碍患者的临床资料,采用作业疗法者为观察组,未采用作业疗法者为对照组,每组30例。对照组行常规康复训练,包括运动训练和物理治疗。观察组在进行常规康复的同时,加入作业疗法。结果连续康复干预满6个月,观察组HAMD量表得分下降到(6.47±2.01)分,相比对照组(9.22±2.13)分,差异有统计学意义(P<0.05);观察组MMSE得分提高到(27.81±1.03)分,相比对照组(24.08±1.17)分,差异有统计学意义(P<0.05);观察组ADL量表总分值为(89.51±5.24)分,相比对照组(74.82±5.41)分,差异有统计学意义(P<0.05)。结论老年脑卒中后抑郁伴轻度认知障碍患者接受作业疗法,有助于改善老年脑卒中后抑郁伴轻度认知障碍患者的认知表现、精神状态和基本的日常生活执行能力。Objective To analyze the therapeutic significance of occupational therapy in improving mental state and executive ability in elderly patients with post-stroke depression and mild cognitive impairment.Methods The clinical data of elderly patients with post-stroke depression and mild cognitive impairment treated in Central Hospital of Minhang District from January 2022 to December 2023 were retrospectively analyzed.Patients who received occupational therapy were included in the observation group and those who did not receive occupational therapy were included in the control group,with 30 cases in each group.The control group received routine rehabilitation training,including exercise training and physical therapy.The observation group received routine rehabilitation training and added occupational therapy.Results After 6 months of continuous rehabilitation intervention,the HAMD score of the observation group decreased to(6.47±2.01)points,which was statistically different from the control group(9.22±2.13)points,(P<0.05);the MMSE score of the observation group increased to(27.81±1.03)points,which was statistically different from the control group(24.08±1.17)points,(P<0.05);the total score of the ADL scale of the observation group was(89.51±5.24)points,which was statistically different from the control group(74.82±5.41)points,(P<0.05).Conclusion The occupational therapy is helpful to improve the cognitive performance,mental state and basic ability of daily living of elderly patients with post-stroke depression and mild cognitive impairment.

关 键 词：老年 脑卒中 作业疗法 认知障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]