绘画疗法结合团体游戏在老年脑卒中后认知障碍患者护理中的应用效果  

Application effect of painting therapy combined with group games in the nursing of elderly patients with cognitive impairment after stroke

作　　者：谢芳 马红芳 成毅 张雪 XIE Fang;MA Hongfang;CHENG Yi;ZHANG Xue(Shaanxi Second Provincial People's Hospital,Xi'an 710005,China)

机构地区：[1]陕西省第二人民医院,陕西西安710005

出　　处：《临床医学研究与实践》2025年第8期154-157,共4页Clinical Research and Practice

摘　　要：目的探究绘画疗法结合团体游戏在老年脑卒中后认知障碍患者护理中的应用效果。方法选择2021年1月至2023年2月我院收治的80例老年脑卒中后认知障碍患者为研究对象,以随机数字表法将其分为对照组、观察组,每组40例。对照组接受常规护理干预,观察组在对照组基础上增加绘画疗法结合团体游戏干预。比较两组的心理状态、认知功能、生活质量及护理满意度。结果干预后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的蒙特利尔认知评估量表(MoCA)、简易智力状态检查法(MMSE)评分均高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的世界卫生组织生活质量测定量表简表(WHOQOL-BREF)、纽卡斯尔护理服务满意度量表(NSNS)评分均高于对照组,差异具有统计学意义(P<0.05)。结论绘画疗法结合团体游戏用于老年脑卒中后认知障碍患者护理中,可改善其心理状态及认知功能,提高生活质量及护理满意度,值得推广。Objective To explore the application effect of painting therapy combined with group games in the nursing of elderly patients with cognitive impairment after stroke.Methods A total of 80 elderly patients with cognitive impairment after stroke admitted in our hospital from January 2021 to February 2023 were selected as the research objects and divided into control group and observation group by random number table method,with 40 cases in each group.The control group received routine nursing intervention,and the observation group received painting therapy combined with group game intervention on the basis of the control group.The psychological state,cognitive function,quality of life and nursing satisfaction of the two groups were compared.Results After intervention,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of Montreal Cognitive Assessment(MoCA)and Mini-Mental State Examination(MMSE)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of WHO Quality of Life Measurement Scale Brief Version(WHOQOL-BREF)and Newcastle Satisfaction with Nursing Scale(NSNS)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Painting therapy combined with group games in the nursing of elderly patients with cognitive impairment after stroke can improve their psychological state and cognitive function,elevate the quality of life and nursing satisfaction,which is worthy of promotion.

关 键 词：绘画疗法 团体游戏 老年患者 脑卒中 认知障碍 认知功能 生活质量 

分 类 号：R473[医药卫生—护理学]