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早期认知训练联合有氧运动对脑卒中后认知障碍患者生活质量及认知功能恢复的影响。

Effect of Early Cognitive Training Combined with Aerobic Exercise on Quality of Life and Cognitive Function Recovery of Patients with Poststroke Cognitive Impairment.

机构信息

Department of Rehabilitation Medicine, the First People's Hospital of Lianyungang/the First Affiliated Hospital of Kangda College of Nanjing Medical University, 222061 Lianyungang, Jiangsu, China.

Department of Nursing, the First People's Hospital of Lianyungang/the First Affiliated Hospital of Kangda College of Nanjing Medical University, 222061 Lianyungang, Jiangsu, China.

出版信息

J Healthc Eng. 2022 Apr 12;2022:9891192. doi: 10.1155/2022/9891192. eCollection 2022.

Abstract

OBJECTIVE

To explore the effect of early cognitive training combined with aerobic exercise on quality of life (QOL) and cognitive function recovery of patients with poststroke cognitive impairment (PSCI).

METHODS

Ninety PSCI patients treated in our hospital from April 2019 to April 2020 were selected as the subjects and were divided into the experimental group (EG) and control group (CG) according to the admission order, with 45 cases each. Patients in CG received conventional health education combined with rehabilitation training, and those in EG accepted early cognitive training combined with aerobic exercise so as to evaluate the clinical effect of different intervention modes on PSCI patients.

RESULTS

Compared with CG after intervention, EG obtained an obviously higher Stroke Specific Quality of Life scale (SS-QOL) score, Montreal Cognitive Assessment (MoCA) score, Barthel Index (MBI) (BI) score and Functional Independence Measure (FIM) score ( < 0.001), and obviously shorter time for completing TMT-A and TMT-B ( < 0.001).

CONCLUSION

Performing early cognitive training combined with aerobic exercise for PSCI patients can effectively improve their QOL and promote the recovery of cognitive function. Compared with conventional health education combined with rehabilitation training, this mode presents a higher application value. Further study will be conducive to establishing a better solution for patients.

摘要

目的

探讨早期认知训练联合有氧运动对脑卒中后认知障碍(PSCI)患者生活质量(QOL)和认知功能恢复的影响。

方法

选取 2019 年 4 月至 2020 年 4 月我院收治的 90 例 PSCI 患者为研究对象,按照入院顺序分为实验组(EG)和对照组(CG),每组 45 例。CG 患者接受常规健康教育联合康复训练,EG 患者接受早期认知训练联合有氧运动,评估不同干预模式对 PSCI 患者的临床效果。

结果

干预后 EG 的脑卒中专用生活质量量表(SS-QOL)评分、蒙特利尔认知评估量表(MoCA)评分、巴氏指数(MBI)评分、功能独立性量表(FIM)评分均明显高于 CG( < 0.001),完成连线测验 A(TMT-A)和连线测验 B(TMT-B)的时间均明显短于 CG( < 0.001)。

结论

对 PSCI 患者进行早期认知训练联合有氧运动,能有效提高患者的 QOL,促进认知功能恢复,与常规健康教育联合康复训练相比,具有更高的应用价值,进一步研究有助于为患者建立更好的解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8794/9018192/740a3dd8d2a5/JHE2022-9891192.001.jpg

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