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中风幸存者轻度认知障碍的初级保健管理:一例促进重返工作岗位的病例报告

Primary care management of mild cognitive impairment in a stroke survivor: A case report on facilitating return to work.

作者信息

Ahmad Hamid Afiza Hanun, Zawawi Nor Shahrina Mohd, Ali Mohd Fairuz, Aziz Noor Azah

机构信息

MD, MMed (Family Medicine), Klinik Kesihatan Sitiawan, Jalan Datuk Ahmad Yunus, Sitiawan, Perak, Malaysia. Email:

BSLT, MSLT, PhD (Stroke Rehabilitation), Department of Medical Rehabilitation Services, Hospital Canselor Tuanku Muhriz (HCTM), National University of Malaysia (UKM), Kuala Lumpur, Malaysia.

出版信息

Malays Fam Physician. 2024 Dec 26;19:70. doi: 10.51866/cr.731. eCollection 2024.

Abstract

This case report delves into facilitating return to work (RTW) in a working-age stroke survivor. The patient was a 42-year-old Malay man who experienced multifocal lacunar infarctions in April 2022. He demonstrated substantial motor function recovery but presented with subtle cognitive deficits impacting various domains. The report outlines the diagnostic process of cognitive assessments and discusses the patient's medical history and stroke-related factors. The management plan encompassed a multidisciplinary approach in primary care, which involved incorporating cognitive rehabilitation, discussing barriers and exploring the perception of the ability to RTW. This case underscores the intricacies of mild cognitive impairment in working-age stroke survivors and emphasises the need for tailored interventions in primary care to optimise cognitive recovery and enhance the overall quality of life.

摘要

本病例报告深入探讨了如何促进一名工作年龄的中风幸存者重返工作岗位。患者为一名42岁的马来男性,于2022年4月发生多灶性腔隙性脑梗死。他的运动功能有显著恢复,但存在影响多个领域的细微认知缺陷。该报告概述了认知评估的诊断过程,并讨论了患者的病史和与中风相关的因素。管理计划包括在初级保健中采用多学科方法,其中涉及纳入认知康复、讨论障碍以及探讨对重返工作岗位能力的认知。本病例强调了工作年龄中风幸存者中轻度认知障碍的复杂性,并强调在初级保健中需要采取量身定制的干预措施,以优化认知恢复并提高整体生活质量。

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本文引用的文献

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Role of occupational therapy after stroke.中风后职业治疗的作用。
Ann Indian Acad Neurol. 2008 Jan;11(Suppl 1):S99-S107.

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