个体化作业疗法对老年脑卒中后认知障碍的影响②.pdfVIP

中国康复理论与实践2012 年9 月第18 卷第9 期 Chin J Rehabil Theory Pract, Sep. 2012, Vol. 18, No.9 - 843 - DOI : 10.3969/j.issn. 1006-9771.2012.09.015 ·临床研究· 个体化作业疗法对老年脑卒中后认知障碍的影响② 何雯，林桦，唐忆云，刘海艳，金培勇，王帆，李玮 [摘要] 目的 探讨个体化作业疗法对老年脑卒中认知障碍患者的康复疗效。方法 60 例老年脑卒中认知障碍患者分为治疗 组(n=30)和对照组(n=30) ，两组患者入院后均接受常规康复训练，治疗组在此基础上给予个体化作业治疗。治疗前后采用简易精神 状态检查(MMSE)及改良Barthel 指数(MBI)进行评定。结果 治疗后治疗组MMSE 评分显著高于治疗前(P0.001) ，对照组治疗前后 MMSE 评分无显著性差异(P0.05) 。治疗后，两组MBI 评分均高于治疗前(P0.05) ，治疗组与对照组相比有非常高度显著性差异 (P0.001) 。结论 个体化作业疗法可明显改善老年脑卒中后认知障碍患者的认知功能，提高日常生活活动能力。 [关键词] 脑卒中；认知；作业疗法；日常生活活动能力 Effects of Individual Occupational Therapy on Cognitive Impairment of Elderly with Stroke HE Wen, LIN Hua, TANG Yi-yun, et al. Department of Rehabilitation Medicine, Jingan Geriatric Hospital, Shanghai 200040, China Abstract: Objective To observe the effects of individual occupational therapy on cognitive impairment of elderly with stroke. Meth- ods 60 elderly stroke patients with cognitive impairment were divided into treatment group (n=30) and control group (n=30). All the patients accepted routine rehabilitation, and the treatment group accepted individual occupational therapy in addition. They were evaluated with Mini-mental State Examination (MMSE) and modified Barthel index (MBI) before and after treatment. Results The score of MMSE in- creased significantly in the treatment group after treatment (P0.001), but was not different significantly in the control group (P0.05). The score of MBI increased significantly in both groups after treatment (P0.05), and increased more in the treatment group than in the control group (P0.001). Conclusion Individual occupational therapy can improve the cognitive function and the activities of dai