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| 早期认知康复干预对脑外伤后认知功能障碍患者精神行为症状及生活能力的影响 |
| Impacts of early cognitive rehabilitation intervention on the behavioral and psychological symptoms and life ability of patients with cognitive impairment after brain injury |
| 投稿时间：2024-11-11 修订日期：2024-11-11 |
| DOI： |
| 中文关键词: 脑外伤后认知功能障碍 早期认知康复干预 精神行为症状 生活能力 |
| 英文关键词: Cognitive impairment after brain injury Early cognitive rehabilitation intervention Behavioral and psychological symptoms Life ability |
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| 中文摘要: |
| 目的 探讨早期认知康复干预对脑外伤后认知功能障碍患者精神行为症状及生活能力的影响。方法 选取140例脑外伤后认知功能障碍患者，按照入院就诊顺序分组，常规组（n＝70）给予常规治疗及护理，干预组（n＝70）给予常规治疗及早期认知康复干预，比较两组患者精神行为症状及生活能力改善情况。结果 干预后，干预组患者神经精神量表（NPI）评分为（16.17±3.27）分，常规组患者为（19.25±4.09）分，两组NPI评分均较干预前明显降低，且干预组低于常规组（P＜0.05）；干预后，干预组患者蒙特利尔认知评估（MoCA）量表评分为（26.15±3.87）分，改良Barthel指数（MBI）评分为（59.76±15.29）分，常规组分别为（22.73±3.65）分、（51.02±13.35）分，两组MoCA评分及MBI评分均较干预前升高，且干预组均高于常规组（P＜0.05）。干预组临床总有效率为91.43%，较常规组的77.14%明显提升（P＜0.05）。结论 应用早期认知康复护理模式对脑外伤后认知功能障碍患者进行干预具有显著的效果，可有效减轻患者精神行为症状，改善认知功能及生活自理能力。 |
| 英文摘要: |
| Objective: To explore the impacts of early cognitive rehabilitation intervention on thebehavioral and psychological symptoms and life abilities of patients with cognitive impairment after brain injury. Methods: A total of 140 patients with cognitive impairment after brain injury were gathered and separated into two groups according to the order of admission. The conventional group (n=70) received routine treatment and care, while the intervention group (n=70) received routine treatment and early cognitive rehabilitation intervention. The improvement of mental and behavioral symptoms and life abilities were compared. Results After intervention, the Neuropsychiatric Inventory (NPI) score of the intervention group was (16.17±3.27) points, while the conventional group was (19.25±4.09) points. The NPI scores of both groups were greatly lower than before intervention, and the intervention group were lower than the conventional group (P<0.05). After intervention, the Montreal Cognitive Assessment (MoCA) score in the intervention group was (26.15±3.87) points, the Modified Barthel Index (MBI) score was (59.76±15.29) points, and those in the conventional group were (22.73±3.65) points and (51.02±13.35) points, respectively. The MoCA score and MBI score in both groups were higher than before intervention, and the intervention group were higher than the conventional group (P<0.05). The total clinical effective rate of the intervention group was 91.43%, which was greatly improved compared to the conventional group""s 77.14% (P<0.05). Conclusion: The application of early cognitive rehabilitation nursing model has a great effect on patients with cognitive impairment after brain injury, which can effectively alleviate their psychological and behavioral symptoms, ameliorate cognitive function and self-care ability. |
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