实施护理干预对脑卒中便秘患者认知功能效果分析.docVIP

实施护理干预对脑卒中便秘患者认知功能效果分析 　　[摘要] 目的 研究护理干预对改善脑卒中便秘患者认知功能的效果。方法 选取2016年2～12月我院收治的脑卒中便秘患者100例。根据护理方案分为观察组与对照组各50例。对照组实施常规护理干预，观察组则在对照组的基础上给予个性化认知行为干预。比较两组干预前后便秘症状积分、认知功能、日常生活活动能力变化情况。结果 观察组总有效率为92.00%（46/50），高于对照组的76.00%（38/50）。干预后两组便秘症状积分均低于护理前，而观察组便秘症状积分为（2.8±2.1）分，低于对照组的（4.0±2.2）分（均P0.05）。干预后两组MMSE评分均高于干预前，而观察组MMSE评分为（28.7±2.7）分，高于对照组的（27.3±2.4）分。干预后两组Barthel指?稻?高于干预，而观察组Barthel指数为（95.2±10.1）分，高于对照组的（80.7±9.8）分，差异有统计学意义（均P0.05）。结论 个性化认知行为干预应用于脑卒中便秘患者中效果显著，可有效改善患者便秘症状，促进认知功能的恢复，同时提高患者日常生活活动能力。 　　[关键词] 脑卒中；护理干预；认知功能；便秘 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 2095-0616（2017）07-81-04 　　Effect of nursing intervention on cognitive function of patients with constipation after stroke 　　TU Xiaohua DENG Yangdan LIANG Caiqiong MA Yunlian ZHENG Miaoyun 　　Internal Medicine， Tanzhou Hospital of Zhongshan City， Zhongshan 528467， China 　　[Abstract] Objective To discuss the effect of nursing intervention on cognitive function of patients with constipation after stroke. Methods 100 cases with constipation after stroke from Feb 2016 to Dec 2016 were selected as objects. All cases were divided into observation group and control group according to nursing method， each group of 50 cases. The control group received routine nursing intervention， and observation group received individual cognitive behavior intervention based onroutine nursing intervention. Constipation symptom score， cognitive function and activities of daily living of two groups before and after intervention were compared. Results Total effective rate of observation group was 92.00%（46/50）， which was higher than that of the control group 92.00%（46/50）.Constipation symptom scores of two group after intervention were lower than those before intervention， and the observation group was （2.8±2.1）， which was lower than that of the control group （4.0±2.2）， P0.05.MMSE scores of two groups after intervention were higher than those before intervention， and MMSE of the observation group was （28.7±2.7）， which was higher than that of t