时空同构训练结合心理护理模式对脑梗死伴早期认知障碍患者的影响研究  

The influence of spatiotemporal isomorphism training combined with psychological nursing model on early cognitive impairment in patients with cerebral infarction

作　　者：殷峥燕 王丽娟[1] YIN Zhengyan;WANG Lijuan(Department of Neurology,Nanjing First Hospital,Nanjing MedicalUniversity,Nanjing 210000,China)

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)神经内科,江苏南京210000

出　　处：《心理月刊》2025年第5期187-189,210,共4页

摘　　要：目的 探究时空同构训练结合心理护理模式对脑梗死伴早期认知障碍患者的影响。方法 选取2021年1月~2023年12月在南京医科大学附属南京医院进行脑梗死伴早期认知障碍治疗的78例患者,运用随机数字表法进行分组,将受试者划分为观察组与对照组。对照组接受标准的常规护理措施,而观察组则在接受常规护理的同时,融入了时空同步训练与心理护理干预。比较两组患者干预前后认知功能、自我效能感、负性情绪和日常生活能力。计数资料以x^(2)检验,正态计量资料以t检验。结果 干预前,两组在认知功能、自我效能感、负面情绪和日常生活能力得分上没有显著差异(P>0.05)。干预后,观察组患者认知功能、自我效能感和日常生活能力评分均显著高于对照组(P<0.001),焦虑和抑郁评分均显著低于对照组(P<0.05)。结论 对脑梗死伴早期认知障碍患者实施时空同构训练结合心理护理,能够有效改善患者认知功能,并提高其自我效能感和日常生活能力,同时对改善患者负性情绪具有重要意义。Objective To explore the effect of spatial isomorphism training and psychological nursing model on early cognitive impairment in patients with cerebral infarction.Methods 78 patients treated for cerebral infarction with early cognitive impairment in Nanjing Hospital afiliated to Nanjing Medical University from January 2021 to December 2023 were selected,and the subjects were divided into observation group and control group.The control group received the standard usual care measures,while the observation group integrated the spatio-temporal synchronous training and psychological care intervention while receiving the usual care.Cognitive function,self-efficacy,negative emotions,and daily living ability were compared before and after the intervention.Count data were tested in x and normal measurement data by t-tested.Results Before the intervention,there was no significant difference in cognitive function,self-eficacy,negative emotion and ability of daily living scores between the two groups(P>0.05).After the intervention,the cognitive function,self-efficacy and ability of daily living scores in observation group were significantly higher than those in control group(P<0.001),the anxiety and depression scores were significantly lower than those of the control group(P<0.05).Conclusion The implementation of spatiotemporal isomorphism training combined with psychological nursing for patients with cerebral infarction and early cognitive impairment can effectively improve their cognitive function,self-efficacy and daily living ability,and has important significance for improving their negativeemotions.

关 键 词：时空同构训练 心理护理 脑梗死 早期认知障碍 

分 类 号：R47[医药卫生—护理学]