卒中后非痴呆认知障碍病人认知损害临床特点及实施协同护理效果.docVIP

卒中后非痴呆认知障碍病人认知损害临床特点及实施协同护理效果 　　[摘要]目的 观察协同护理对卒中后非痴呆认知障碍（CIND）患者认知损害的效果。方法 选取2015年6月～2017年1月在我院接受治疗的70例CIND患者作为研究对象，将其作为实验组，另选取70例卒中后未出现认知功能障碍的正常患者作为对照组，实验组患者实施协同护理，对照组患者实施常规护理。对70例CIND患者的临床认知特点进行分析，并比较实验组患者在实施协同护理措施前后的日常活动及认知能力。结果 实验组患者的命名、视空间与执行能力、语言等7项认知得分及MoCA总得分均明显低于对照组，差异有统计学意义（P0.05）。实验组患者在接受康复护理后的认知功能（MMSE）评分、日常活动能力（Barthel）指数均有明显改善，差异有统计学意义（P0.05）。结论 CIND患者的认知损害是多项认知域联合损害的结果，而根据不同患者的患病特点进行相应的康复护理能够有效提高患者的日常活动与认知能力。 　　[关键词]脑卒中；非痴呆认知障碍；认知损害；临床特点；护理措施 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2017）11（a）-0176-03 　　Clinical characteristics of cognitive impairment in patients with cognitive impairment after stroke and the effect of cooperative nursing 　　WU Xiao-hong TAO Jin-lan XIE Li-jing 　　Fuzhou Maternal and Child Health Hospitalof Fuzhou City in Jiangxi Province，Fuzhou 344000，China 　　[Abstract]Objective To observe the effect of collaborative nursing on cognitive impairment in patients with non-dementia cognitive impairment （CIND） after stroke.Methods Sixty patients with CIND who were treated in our hospital from June 2015 to January 2017 were selected as the experimental group，and 70 patients with normal cognitive impairment after stroke were selected for the control group，the experimental group of patients with collaborative care，the control group of patients with routine care.70 cases of CIND patients with clinical cognitive characteristics were analyzed and compared with the experimental group of patients in the implementation of collaborative care measures before and after the daily activities and cognitive ability.Results The cognitive score，visual space and execution，language and other cognitive scores of Montreal Cognitive Assessment （MoCA） were significantly lower in the experimental group than those in the control group （P0.05）.The scores of cognitive function （MMSE） and routine exercise ability （Barthel） were significantly improved in the experimental group （P0.05），and the difference was statistically significant （P0.05）.Conclusion The cogni